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NPI Code Detail

MEDICARE: CELESTE PREVITE CNP

MEDICARE:   CELESTE  PREVITE  CNP
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
1363L00000XNurse PractitionerCOA.16715-NPOH

General Provider Information

NPI Number : 1538565403
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE PREVITE CNP
Provider Business Mailing Address
First Line : 1 PERKINS SQ
Second Line :
City : AKRON
State : OH
Zip : 44308-1063
Country : US
Telephone Number : 419-281-3077
Fax Number : 419-281-2905
Provider Business Practice Location Address
First Line : 5000 E MARKET ST STE 30
Second Line :
City : WARREN
State : OH
Zip : 44484-2259
Country : US
Telephone Number : 330-856-9699
Fax Number : 330-856-9935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2014
Last Update Date : 03/11/2021

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Directions to “ CELESTE PREVITE CNP” Practice Location

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