Individual provider · NPI-1

Alexa Nicole Reyes Celerian, DO

Internal Medicine · Mount Vernon, WA

NPI number1508219023
StatusActive
Last updated in NPPESOct 25, 2021

Details

NPI
1508219023
Entity type
Individual (NPI-1)
Name
Ms. Alexa Nicole Reyes Celerian
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2016
Certification date
Oct 25, 2021
Last updated
Oct 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOP61058984WAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1801 E Division St
Mount Vernon, WA 98274-4632

Phone 360-424-4410 · Fax 360-424-0749

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Phone 360-814-6451 · Fax 360-445-8592

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