Provider Demographics
NPI:1407746399
Name:CELESTIE, CHRISTY LOVE (CERTIFIED NURSING)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LOVE
Last Name:CELESTIE
Suffix:
Gender:F
Credentials:CERTIFIED NURSING
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:L
Other - Last Name:CELESTIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:75 SONRISE PL APT 203
Mailing Address - Street 2:
Mailing Address - City:FELLSMERE
Mailing Address - State:FL
Mailing Address - Zip Code:32948-5375
Mailing Address - Country:US
Mailing Address - Phone:772-300-4136
Mailing Address - Fax:
Practice Address - Street 1:75 SONRISE PL APT 203
Practice Address - Street 2:
Practice Address - City:FELLSMERE
Practice Address - State:FL
Practice Address - Zip Code:32948-5375
Practice Address - Country:US
Practice Address - Phone:772-300-4136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
409579376K00000X
FL409579251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No376K00000XNursing Service Related ProvidersNurse's Aide