Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 9344778 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | 9344778 | FL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 9344778 | FL |
N | 363LC1500X | Nurse Practitioner - Community Health | 9344778 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 9344778 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 9344778 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | 9344778 | FL |
N | 363LS0200X | School | 9344778 | FL |
N | 363LW0102X | Nurse Practitioner - Women's Health | 9344778 | FL |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 9344778 | FL |
N | 363LX0106X | Nurse Practitioner - Occupational Health | 9344778 | FL |
NPI | 1164900221 |
---|---|
Provider Name | Citania Celestin |
First Address | North Miami Beach, FL 33162-4951 |
Second Address | North Miami Beach, FL 33162-4951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2018 |
Last Update Date | 01/08/2018 |