Provider Demographics
NPI:1366081077
Name:MARTINI, CHRISTINA (LVN, WELLNESS COACH)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:MARTINI
Suffix:
Gender:F
Credentials:LVN, WELLNESS COACH
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:CLINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN, YOGA THERAPY
Mailing Address - Street 1:2555 LEMI PL
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-5039
Mailing Address - Country:US
Mailing Address - Phone:714-488-0623
Mailing Address - Fax:
Practice Address - Street 1:810 HAIKU RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-4803
Practice Address - Country:US
Practice Address - Phone:808-793-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-27
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225641164W00000X
HILPN-19093164X00000X
CA885302255A2300X
CACERTIFICATION2255A2300X, 171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer