| Doctor Name: | CELIA A HETHKE |
| NPI Number: | 1104922236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, ANP, APN |
| License Number: | 209-001278(41-17118) |
| Business Practice Address: | 227 N Market St Paxton, IL - 609571123 |
| Business Phone Number: | 2173794864 |
| Business Fax Number: | |
| Mailing Address: | 112 Kendall St, GIFFORD |
| State: | IL |
| Postal Code: | 618479602 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 05/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 209-001278(41-17118) |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |