SearchIdaho363LG0600X

Jose Celedon, NP

NPI 1326520719 · on the registry since 2018 · sole proprietor

Practice

Address
508 E Florida Ave
Nampa, ID 83686
Phone
(208) 463-0118
Organisation at this address
Port Of Hope Centers, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 500 W Fort St, Boise, ID

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho