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NPI Code Detail

MEDICARE: MARYANN KEEP APRN

MEDICARE: MARYANN KEEP APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP022685PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12020043804OTHERANCC

General Provider Information

NPI Number : 1386233179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANN KEEP APRN
Provider Business Mailing Address
First Line : PO BOX 27
Second Line :
City : SOLEBURY
State : PA
Zip : 18963-0027
Country : US
Telephone Number : 215-262-7146
Fax Number :
Provider Business Practice Location Address
First Line : 8835 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-2765
Country : US
Telephone Number : 215-248-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2021
Last Update Date : 01/15/2021

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