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NPI Code Detail

MEDICARE: MISS DENISE KEEGAN CRNP

MEDICARE:  MISS DENISE  KEEGAN  CRNP
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
1363LA2200XAdult Health Nurse PractitionerUP004415CPA

General Provider Information

NPI Number : 1770660698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DENISE KEEGAN CRNP
Provider Business Mailing Address
First Line : 1648 HUNTINGDON PIKE
Second Line : MEDICAL STAFF OFFICE 1ST FLR
City : MEADOWBROOK
State : PA
Zip : 19046-8001
Country : US
Telephone Number : 215-938-3450
Fax Number : 215-938-3829
Provider Business Practice Location Address
First Line : 23 BUSTLETON PIKE
Second Line : SUITE 200
City : FEASTERVILLE TREVOSE
State : PA
Zip : 19053-6446
Country : US
Telephone Number : 215-464-0770
Fax Number : 215-464-8208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2021

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