Bacon, Celianne Marie
Bacon, Celianne Marie is an sole proprietor health care provider with primary practice located at 1917 W Faidley Ave , Grand Island NE 68803-4642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bacon, Celianne Marie can be contacted via phone (308) 398-0350.Contact Information
Primary practice address
1917 W Faidley Ave
Grand Island NE 68803-4642
Phone: (308) 398-0350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 113298 | Nebraska |
Profile Details
| NPI number | 1588265615 |
|---|---|
| LBN Legal business name | Bacon, Celianne Marie |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2020 |
| Last updated | Nov 4th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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