Provider Demographics
NPI:1518226869
Name:CELESTINE, ASHLYN ANN (ANP-BC)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:ANN
Last Name:CELESTINE
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:ASHLYN
Other - Middle Name:ANN
Other - Last Name:MORISSET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:757 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5901
Mailing Address - Country:US
Mailing Address - Phone:212-363-0712
Mailing Address - Fax:
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-768-4313
Practice Address - Fax:718-768-4324
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF305485363LA2200X
NYF340792363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology