Provider Demographics
NPI:1578705901
Name:COKER, CELIA (LPN)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:
Last Name:COKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:
Other - Last Name:COKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:777 SAINT MARKS AVE
Mailing Address - Street 2:APT 5B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1451
Mailing Address - Country:US
Mailing Address - Phone:646-245-4247
Mailing Address - Fax:
Practice Address - Street 1:777 SAINT MARKS AVE
Practice Address - Street 2:APT 5B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-1451
Practice Address - Country:US
Practice Address - Phone:646-245-4247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241464164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse