| Amanda Keator Celles, | |
|
1633 Marvel St, Coushatta, LA 71019-9022 | |
| (318) 932-2000 | |
| Not Available |
| Full Name | Amanda Keator Celles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1633 Marvel St, Coushatta, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902391170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP09965 (Louisiana) | Primary |
| Entity Name | Emd Telehealth Solutions, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639771124 PECOS PAC ID: 4082027511 Enrollment ID: O20201230001438 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Keator Celles, 4243 Parkridge Dr, Benton, LA 71006-9720 Ph: (318) 332-0817 | Amanda Keator Celles, 1633 Marvel St, Coushatta, LA 71019-9022 Ph: (318) 932-2000 |
Misti Lelong Morgan, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1635 Marvel St, Coushatta, LA 71019 Phone: 318-932-2000 | |
Macy Guin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1633 Marvel St, Coushatta, LA 71019 Phone: 318-932-9980 | |
Mary Kate Young, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1633 Marvel St, Coushatta, LA 71019 Phone: 318-932-2222 Fax: 318-932-2186 | |
Lavora Babers-wilson, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1635 Marvel St, Coushatta, LA 71019 Phone: 318-932-2081 Fax: 318-932-2215 | |
La'shundra Renee Green-washington, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1633 Marvel St, Coushatta, LA 71019 Phone: 318-932-2170 | |
Mrs. Jean Nicole Webb, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 Ringgold Ave, Coushatta, LA 71019 Phone: 318-932-5202 Fax: 318-932-8793 |