Healthcare Provider Details

I. General information

NPI: 1821952227
Provider Name (Legal Business Name): ASHLEY KEATING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

304 AVALON LN
WESTMINSTER MD
21158-4162
US

IV. Provider business mailing address

304 AVALON LN
WESTMINSTER MD
21158-4162
US

V. Phone/Fax

Practice location:
  • Phone: 240-626-5431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR183077
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: