Doctor Name: | CELESTE JOLIE FINE |
NPI Number: | 1023379393 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP4505 |
Business Practice Address: | 3507 S Mercy Rd Suite 101 Gilbert, AZ - 852970441 |
Business Phone Number: | 4809260644 |
Business Fax Number: | 4809260645 |
Mailing Address: | 1252 E San Angelo Ave, GILBERT |
State: | AZ |
Postal Code: | 852343650 |
Phone Number: | 8029996514 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2012 |
NPI Last Update Date: | 03/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP4505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |