Provider Demographics
NPI:1033411244
Name:APAU-KESE, CECILIA (NP)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:
Last Name:APAU-KESE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:APAU-KESE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1282 AUDUBON DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-6424
Mailing Address - Country:US
Mailing Address - Phone:704-718-4150
Mailing Address - Fax:
Practice Address - Street 1:1282 AUDUBON DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-6424
Practice Address - Country:US
Practice Address - Phone:704-718-4150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC241596363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner