Individual
MAILIN SUE CELESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2864 S CIRCLE DR STE 450, COLORADO SPRINGS, CO 80906-4170
(719) 776-8850
Mailing address
7227 LADY LUCK CT, COLORADO SPRINGS, CO 80923-5821
(719) 200-1495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994000-NP
CO
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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