Healthcare Provider Details

I. General information

NPI: 1518874940
Provider Name (Legal Business Name): NATALIE MARIE CEELEN MGC, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 HIGHLAND AVE
MADISON WI
53705-2274
US

IV. Provider business mailing address

1500 HIGHLAND AVE
MADISON WI
53705-2274
US

V. Phone/Fax

Practice location:
  • Phone: 608-915-0680
  • Fax: 608-263-0530
Mailing address:
  • Phone: 608-915-0680
  • Fax: 608-263-0530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: