Provider Demographics
NPI:1184997348
Name:CURNICK, CELESTE J (FNP)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:J
Last Name:CURNICK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:J
Other - Last Name:SCALZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 530062
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-0062
Mailing Address - Country:US
Mailing Address - Phone:843-695-6071
Mailing Address - Fax:843-569-5881
Practice Address - Street 1:5500 FRONT ST # 260
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-7735
Practice Address - Country:US
Practice Address - Phone:843-376-0670
Practice Address - Fax:843-376-0669
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17758363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP2019Medicaid
SCP01173507OtherRR-MEDICARE
SCAA86347006Medicare PIN
SCAA86348798Medicare PIN