Healthcare Provider Details

I. General information

NPI: 1407731300
Provider Name (Legal Business Name): JOYCE NOREEN CELIS AZNAR-LESTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 EL VISTA AVE
MODESTO CA
95354-1802
US

IV. Provider business mailing address

426 LOCUST ST
MODESTO CA
95351-2699
US

V. Phone/Fax

Practice location:
  • Phone: 209-574-1972
  • Fax:
Mailing address:
  • Phone: 209-574-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number95240994
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: