Provider Demographics
NPI:1033716881
Name:OKAZAWA, CHRISTINA (FNP-C, PMHNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:OKAZAWA
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-C
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-C, FNP-C
Mailing Address - Street 1:164 SOUTHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1133
Mailing Address - Country:US
Mailing Address - Phone:330-495-2703
Mailing Address - Fax:614-715-2214
Practice Address - Street 1:4034 N HAMPTON DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8445
Practice Address - Country:US
Practice Address - Phone:614-588-8131
Practice Address - Fax:614-715-2214
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF10200327363LP2300X
OHAPRN.CNP.0027925364SP0808X
OH368233163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine