Healthcare Provider Details

I. General information

NPI: 1699698209
Provider Name (Legal Business Name): CELESTE MARIE DE LOS SANTOS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WASHINGTON AVE SE STE 300
MINNEAPOLIS MN
55414-2904
US

IV. Provider business mailing address

7429 ALDRICH AVE S
RICHFIELD MN
55423-3954
US

V. Phone/Fax

Practice location:
  • Phone: 612-884-0741
  • Fax:
Mailing address:
  • Phone: 210-912-6884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number688
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: