Provider Demographics
NPI:1053958959
Name:BECKER, CELESTE MICHELLE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:CELESTE
Middle Name:MICHELLE
Last Name:BECKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:MICHELLE
Other - Last Name:GARRUTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT ST STE 701
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4409
Mailing Address - Country:US
Mailing Address - Phone:215-955-2416
Mailing Address - Fax:
Practice Address - Street 1:833 CHESTNUT ST STE 701
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4409
Practice Address - Country:US
Practice Address - Phone:215-955-2416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021262363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care