Provider Demographics
NPI:1285106054
Name:SISON, CELESTE HAUNANI (NP-C)
Entity type:Individual
Prefix:MRS
First Name:CELESTE
Middle Name:HAUNANI
Last Name:SISON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-1123 LALAI ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-3716
Mailing Address - Country:US
Mailing Address - Phone:808-386-8208
Mailing Address - Fax:
Practice Address - Street 1:1150 S KING ST STE 1105
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1954
Practice Address - Country:US
Practice Address - Phone:808-205-5491
Practice Address - Fax:808-333-3682
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-2588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily