Provider Demographics
NPI:1558845321
Name:SITTON, CELESTE MARIE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CELESTE
Middle Name:MARIE
Last Name:SITTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-9583
Mailing Address - Country:US
Mailing Address - Phone:864-630-8624
Mailing Address - Fax:
Practice Address - Street 1:124 VERDAE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3844
Practice Address - Country:US
Practice Address - Phone:864-271-9780
Practice Address - Fax:864-271-9785
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22007363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily