Individual provider · Type 1 NPI
Jose Manuel Celedon, NP
Gerontology Nurse Practitioner · Nampa, ID
NPI number
1326520719
Active
Practice location
508 E Florida Ave
Nampa, ID 83686-5823
Mailing address
2226 E Shady Glade Dr
Meridian, ID 83642-8245
Other practice locations
- 500 W Fort St, # 111, Boise, ID 83702 · (208) 422-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 59029 (ID) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1326520719
Jose Manuel Celedon, NP's National Provider Identifier is 1326520719, issued on Aug 31, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Nampa, ID. The record was last updated on Jul 18, 2022.