# CELIA B ENTWISTLE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407806110
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 36179 | NC | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 36179 | NC | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 10/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 046910802 | — | TX |
| 01 | — | 30701 | BCBSNC | NC |
| 05 | — | 89-30701 | — | NC |
| 01 | — | 930095201 | RR MEDICARE | NC |
| 05 | — | N36179 | — | SC |