Provider Demographics
NPI:1316120363
Name:LEVESQUE, CELIA ANN (RN MSN CNS CDE BCADM)
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:ANN
Last Name:LEVESQUE
Suffix:
Gender:F
Credentials:RN MSN CNS CDE BCADM
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:ANN
Other - Last Name:MCCREA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:P O BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX526120364S00000X, 364SA2100X
TXAP115491363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191746001Medicaid
TX8Y3518OtherBCBSTX - M D ANDERSON CANCER CENTER
TX8Y3518OtherBCBSTX - M D ANDERSON CANCER CENTER