Provider Demographics
NPI:1770676504
Name:STEPHENS, CELIA K (PA)
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:K
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1000 N 16TH ST
Mailing Address - Street 2:SUITE G-10
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-4319
Mailing Address - Country:US
Mailing Address - Phone:765-521-0901
Mailing Address - Fax:765-521-9891
Practice Address - Street 1:1000 N 16TH ST
Practice Address - Street 2:SUITE G-10
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-4319
Practice Address - Country:US
Practice Address - Phone:765-521-0901
Practice Address - Fax:765-521-9891
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN10000423A363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical