Celeste Clark, RN
Individual provider Active NPI Case Management Registered Nurse · McClellan, CA
NPI 1285866939 · NPPES record last updated Aug 13, 2009
Key facts
- NPI
- 1285866939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- RN146571 (AZ)
- Practice address
- 5342 Dudley Blvd # 98
McClellan, CA 95652-1012 - Phone
- (916) 561-7520
- NPI assigned
- Aug 13, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN146571 | AZ | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN146571 | AZ | Yes |
Addresses
Primary practice location
5342 Dudley Blvd # 98
McClellan, CA 95652-1012
Mailing address
5200 Brondsbury LN
Fair Oaks, CA 95628-4087
Phone (916) 561-7520
Other providers in McClellan, CA
- Cameron Austin Cason
- Viviana Castro-Martinez
- Karina M Castro
- Judith Chavez
- Valerie Christian
- David Christian Cole
- Robert David Coleman
- Sasha Collier
- Jeremy Combs
- Beverly Lynn Conley
All providers in McClellan, CA · Case Management Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.