MEDICARE: AFUA ANTWIWAAH CELESTIN DNP, RN, CBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WL0100X	Lactation Consultant (Registered Nurse)	RN230384	GA
2	163WW0101X	Ambulatory Women's Health Care Registered Nurse	RN230384	GA
3	163WX0002X	High-Risk Obstetric Registered Nurse	RN230384	GA
4	163W00000X	Registered Nurse	RN230384	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	163WX0002X	OTHER	GA	DHA FORT EISENHOWER
2	163W00000X	OTHER	GA	ANCC
3	163WW0101X	OTHER	GA	FORT EISENHOWER
4	163WL0100X	OTHER	GA	LACTATION EDUCATION RESOURCES CERTFICATION - ANCC

General Provider Information

NPI Number	:	1396060398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFUA ANTWIWAAH CELESTIN DNP, RN, CBS

Provider Business Mailing Address
First Line	:	607 RONALD REAGAN DR UNIT 14
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-7701
Country	:	US
Telephone Number	:	706-910-0132
Fax Number	:	706-910-0148

Provider Business Practice Location Address
First Line	:	300 HOSPITAL ROAD FORT EISENHOWER
Second Line	:	OBGYN
City	:	APO
State	:	AA
Zip	:	30905-0000
Country	:	US
Telephone Number	:	706-787-2930
Fax Number	:	706-787-0385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	07/31/2024

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