Healthcare Provider Details

I. General information

NPI: 1861707218
Provider Name (Legal Business Name): CELESTE LIND ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CELESTE LYNNE WILLIAMS

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 CAPITAL CIR NE
TALLAHASSEE FL
32308-8401
US

IV. Provider business mailing address

2786 EDENDERRY DR
TALLAHASSEE FL
32309-2657
US

V. Phone/Fax

Practice location:
  • Phone: 850-656-2006
  • Fax: 850-656-2820
Mailing address:
  • Phone: 850-636-2006
  • Fax: 850-565-2820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 3409532
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: