Healthcare Provider Details

I. General information

NPI: 1295205052
Provider Name (Legal Business Name): CELINDA MARIE AUSTIN-STRICK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E 2ND ST
COUDERSPORT PA
16915-8161
US

IV. Provider business mailing address

1001 E 2ND ST
COUDERSPORT PA
16915-8161
US

V. Phone/Fax

Practice location:
  • Phone: 814-274-9301
  • Fax:
Mailing address:
  • Phone: 814-274-9301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number019659
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: