Healthcare Provider Details

I. General information

NPI: 1780843516
Provider Name (Legal Business Name): SHARON ELIZABETH CELESTINE NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 PIEDMONT DR
NEW ORLEANS LA
70122-4746
US

IV. Provider business mailing address

3515 PIEDMONT DR
NEW ORLEANS LA
70122-4746
US

V. Phone/Fax

Practice location:
  • Phone: 504-777-1020
  • Fax:
Mailing address:
  • Phone: 504-777-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number292601-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number141459
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number211984
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: