Provider Demographics
NPI:1497700371
Name:PAULO, CELESTE OSORIO (NP)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:OSORIO
Last Name:PAULO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1520 LILIHA ST
Mailing Address - Street 2:#601
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3564
Mailing Address - Country:US
Mailing Address - Phone:808-523-0445
Mailing Address - Fax:808-523-0442
Practice Address - Street 1:1520 LILIHA ST
Practice Address - Street 2:#601
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3564
Practice Address - Country:US
Practice Address - Phone:808-523-0445
Practice Address - Fax:808-523-0442
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI857363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
25873-1OtherHMSA
HI585010-01Medicaid
HI13590139OtherCAQH
HIH101510Medicare PIN