Provider Demographics
NPI:1831612977
Name:GOODNIGHT, CELESTE K (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:K
Last Name:GOODNIGHT
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 ALUM CREEK MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:ALUM CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:25003-1750
Mailing Address - Country:US
Mailing Address - Phone:304-756-9001
Mailing Address - Fax:304-756-2081
Practice Address - Street 1:2150 ALUM CREEK MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:ALUM CREEK
Practice Address - State:WV
Practice Address - Zip Code:25003-1750
Practice Address - Country:US
Practice Address - Phone:304-756-9001
Practice Address - Fax:304-756-2081
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN88994NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily