IndividualActive
Jose Celedon, NP
NPI 1326520719 · Gerontology Nurse Practitioner · Nampa, ID
Provider details
- NPI number
- 1326520719
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 59029 (ID)
Mailing address
2226 E Shady Glade Dr
Meridian, ID 83642-8245
Registry dates
- Enumerated
- 2018-08-31
- Last updated
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.