Provider Demographics
NPI:1891688784
Name:CHRISMAN, CELINA EDEAN
Entity type:Individual
Prefix:
First Name:CELINA
Middle Name:EDEAN
Last Name:CHRISMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:RED CLOUD
Mailing Address - State:NE
Mailing Address - Zip Code:68970-2242
Mailing Address - Country:US
Mailing Address - Phone:402-984-5392
Mailing Address - Fax:
Practice Address - Street 1:712 N KEARNEY AVE
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:NE
Practice Address - Zip Code:68944-9727
Practice Address - Country:US
Practice Address - Phone:402-772-2054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant