Healthcare Provider Details

I. General information

NPI: 1760620934
Provider Name (Legal Business Name): JOANNE M KEEFE RNCS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 03/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 WHITING ST STE 5
HINGHAM MA
02043-3724
US

IV. Provider business mailing address

210 WHITING ST STE 5
HINGHAM MA
02043-3724
US

V. Phone/Fax

Practice location:
  • Phone: 339-200-8671
  • Fax: 339-200-8034
Mailing address:
  • Phone: 339-200-8671
  • Fax: 339-200-8034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN218250
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN218250
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: