Provider Demographics
NPI:1467854448
Name:AGUILAR, NINA CELESTE (RN)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:CELESTE
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:CELESTE
Other - Last Name:ACUESTAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4675 OHIO ST.
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116
Mailing Address - Country:US
Mailing Address - Phone:949-528-5701
Mailing Address - Fax:619-542-4060
Practice Address - Street 1:1255 IMPERIAL AVE
Practice Address - Street 2:SUITE 730
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:619-430-3021
Practice Address - Fax:619-542-4060
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-21
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95039266163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult