Individual
MRS. SUZANNE M. CELDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
6475 FARMDALE RD, BARBOURSVILLE, WV 25504-1321
(304) 529-7004
(304) 529-7303
Mailing address
6475 FARMDALE RD, BARBOURSVILLE, WV 25504-1321
(304) 529-7004
(304) 529-7303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
44204
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN44204-FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721286
BLUE CROSS / BLUE SHIELD OF WV
WV
05
—
2315328
—
OH
05
—
96002757000
—
WV
01
—
P00093065
TRAVELERS RAILROAD MCR
WV
Enumeration date
07/05/2005
Last updated
01/11/2022
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