Provider Demographics
NPI:1962830687
Name:GARZA-HALSTEAD, CELIA MARIA (FNP)
Entity Type:Individual
Prefix:MS
First Name:CELIA
Middle Name:MARIA
Last Name:GARZA-HALSTEAD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3324 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-2118
Mailing Address - Country:US
Mailing Address - Phone:323-660-7959
Mailing Address - Fax:323-660-1408
Practice Address - Street 1:3324 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-2118
Practice Address - Country:US
Practice Address - Phone:323-660-7959
Practice Address - Fax:323-660-1408
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-15
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP22877363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily