Healthcare Provider Details

I. General information

NPI: 1770914970
Provider Name (Legal Business Name): SHAYLA RAE KEYS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 30401
APO AE
09154-0401
US

IV. Provider business mailing address

UNIT 30401
APO AE
09154-0401
US

V. Phone/Fax

Practice location:
  • Phone: 314-430-7990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP124739
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberC-APN.0000556-C-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2571
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: