Provider Demographics
NPI:1225354699
Name:BALDWIN, CELESTE MARIE (PHD, APRN, CNS)
Entity Type:Individual
Prefix:MS
First Name:CELESTE
Middle Name:MARIE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:PHD, APRN, CNS
Other - Prefix:MISS
Other - First Name:CELESTE
Other - Middle Name:MARIE
Other - Last Name:MULRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1830 WELLS ST
Mailing Address - Street 2:SUITE #103
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2365
Mailing Address - Country:US
Mailing Address - Phone:808-244-5999
Mailing Address - Fax:808-244-1295
Practice Address - Street 1:1830 WELLS ST
Practice Address - Street 2:SUITE #103
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2365
Practice Address - Country:US
Practice Address - Phone:808-244-5999
Practice Address - Fax:808-244-1295
Is Sole Proprietor?:No
Enumeration Date:2010-04-10
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-56783163WX0601X
HIAPRN-828364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
No163WX0601XNursing Service ProvidersRegistered NurseOtorhinolaryngology & Head-Neck