Provider Demographics
NPI:1881913838
Name:DORAN, CELENE RAE (ARNP)
Entity type:Individual
Prefix:MS
First Name:CELENE
Middle Name:RAE
Last Name:DORAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CELENE
Other - Middle Name:RAE
Other - Last Name:DORAN KIRK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:13000 BRUCE B DOWNS BLVD
Mailing Address - Street 2:#127
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-4745
Mailing Address - Country:US
Mailing Address - Phone:813-972-2000
Mailing Address - Fax:813-978-5995
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:127
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-978-5995
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3078292363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care