Provider Demographics
NPI:1861707218
Name:LIND, CELESTE (ARNP)
Entity type:Individual
Prefix:MS
First Name:CELESTE
Middle Name:
Last Name:LIND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:LYNNE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2786 EDENDERRY DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-2657
Mailing Address - Country:US
Mailing Address - Phone:850-636-2006
Mailing Address - Fax:850-565-2820
Practice Address - Street 1:1965 CAPITAL CIR NE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-8401
Practice Address - Country:US
Practice Address - Phone:850-656-2006
Practice Address - Fax:850-656-2820
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3409532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily