# CELESTA LEE CUSICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255999363
- **Gender:** F
- **Credential:** RN, MSN/INF

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1104010 | KY | — |
| 163W00000X | Registered Nurse | 127909 | AK | — |
| 163W00000X | Registered Nurse | 888130 | MS | Yes |

## Other

- **Enumeration date:** 06/04/2019
- **Last updated:** 10/13/2019