Healthcare Provider Details

I. General information

NPI: 1699827600
Provider Name (Legal Business Name): CELESTE TOLAR MCKNIGHT F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 HOSPITAL DR
OAKDALE LA
71463-3034
US

IV. Provider business mailing address

PO BOX 1089
HAMMOND LA
70404-1089
US

V. Phone/Fax

Practice location:
  • Phone: 318-228-2415
  • Fax: 318-335-3300
Mailing address:
  • Phone: 985-892-7070
  • Fax: 985-892-7017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberRN073799 AP04560
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: