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NPI Code Detail

MEDICARE: MS. TERRY L KEENE ARNP

MEDICARE: MS. TERRY L KEENE ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP30005680WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659359016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERRY L KEENE ARNP
Provider Business Mailing Address
First Line : PO BOX 1853
Second Line :
City : OAK HARBOR
State : WA
Zip : 98277-1853
Country : US
Telephone Number : 360-279-9398
Fax Number :
Provider Business Practice Location Address
First Line : 526 228TH AVE NE
Second Line :
City : SAMMAMISH
State : WA
Zip : 98074-7226
Country : US
Telephone Number : 425-868-0209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 01/15/2009

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