Provider Demographics
NPI:1700928025
Name:WILTSE, CELESTE (MD)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:WILTSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TOWN SQUARE BLVD STE 218
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-5080
Mailing Address - Country:US
Mailing Address - Phone:828-684-1212
Mailing Address - Fax:828-684-1103
Practice Address - Street 1:30 TOWN SQUARE BLVD STE 218
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-5080
Practice Address - Country:US
Practice Address - Phone:828-684-1212
Practice Address - Fax:828-684-1103
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00726207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology