Provider Demographics
NPI:1740983816
Name:KILMARTIN, CELESTE SIMS (RN)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:SIMS
Last Name:KILMARTIN
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Gender:F
Credentials:RN
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Mailing Address - Street 1:80 ERDMAN WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1840
Mailing Address - Country:US
Mailing Address - Phone:978-751-9280
Mailing Address - Fax:978-627-3923
Practice Address - Street 1:80 ERDMAN WAY STE 100
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1840
Practice Address - Country:US
Practice Address - Phone:978-751-9280
Practice Address - Fax:978-627-3923
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2025-05-08
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Provider Licenses
StateLicense IDTaxonomies
MARN2276061207N00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207N00000XAllopathic & Osteopathic PhysiciansDermatology