Provider Demographics
NPI:1962847855
Name:DAILEY, CELESTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CELESTE
Middle Name:
Last Name:DAILEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 THOMAS CAIRO BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-6981
Mailing Address - Country:US
Mailing Address - Phone:843-216-6618
Mailing Address - Fax:843-856-4594
Practice Address - Street 1:3300 THOMAS CAIRO BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-6981
Practice Address - Country:US
Practice Address - Phone:843-216-6618
Practice Address - Fax:843-856-4594
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC66865163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse