Healthcare Provider Details

I. General information

NPI: 1568553741
Provider Name (Legal Business Name): MARGARET M KEELER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 10/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 EAST MICHIGAN AVE
LANSING MI
48912-3800
US

IV. Provider business mailing address

3475 BELLE CHASE WAY
LANSING MI
48911-4252
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-1000
  • Fax:
Mailing address:
  • Phone: 517-882-3732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704139899
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: