Provider Demographics
NPI:1396060398
Name:CELESTIN, AFUA ANTWIWAAH (DNP, RN, CBS)
Entity type:Individual
Prefix:
First Name:AFUA
Middle Name:ANTWIWAAH
Last Name:CELESTIN
Suffix:
Gender:F
Credentials:DNP, RN, CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 RONALD REAGAN DR UNIT 14
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7701
Mailing Address - Country:US
Mailing Address - Phone:706-910-0132
Mailing Address - Fax:706-910-0148
Practice Address - Street 1:300 HOSPITAL ROAD FORT EISENHOWER
Practice Address - Street 2:OBGYN
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:30905-0000
Practice Address - Country:US
Practice Address - Phone:706-787-2930
Practice Address - Fax:706-787-0385
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN230384163WL0100X, 163WW0101X, 163WX0002X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA163WX0002XOtherDHA FORT EISENHOWER
GA163W00000XOtherANCC
GA163WW0101XOtherFORT EISENHOWER
GA163WL0100XOtherLACTATION EDUCATION RESOURCES CERTFICATION - ANCC