Individual
CELESTE BOWES BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
43 DERBES DR, GRETNA, LA 70053-4933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07482329
—
MS
05
—
1020532
—
LA
Enumeration date
10/19/2007
Last updated
02/14/2022
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