Provider Demographics
NPI:1861865321
Name:HOSANG CELESTIN, RHEA MARIE (MSN, FNP)
Entity type:Individual
Prefix:
First Name:RHEA
Middle Name:MARIE
Last Name:HOSANG CELESTIN
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:RHEA
Other - Middle Name:MARIE
Other - Last Name:HOSANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, FNP
Mailing Address - Street 1:8300 ESTERS BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-2233
Mailing Address - Country:US
Mailing Address - Phone:415-424-4266
Mailing Address - Fax:415-520-6633
Practice Address - Street 1:10775 PIONEER TRL STE 215
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0234
Practice Address - Country:US
Practice Address - Phone:951-221-9122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020828363LF0000X
MDAC004759363LF0000X
VA0024189784363LF0000X
NV846964363LF0000X
CA95020299363LF0000X
IL209024420363LF0000X
TXAP129796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100260573Medicaid
TX1861865321Medicaid
VA30017787360001Medicaid
NV250018014Medicaid
MD334228000Medicaid
FL120679300Medicaid