MEDICARE: BRENDAN KEANY RN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11044080	FL
2	163W00000X	Registered Nurse	RN9421741	FL

General Provider Information

NPI Number	:	1811525546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDAN KEANY RN

Provider Business Mailing Address
First Line	:	2721 BORA BORA PL
Second Line	:
City	:	HOLIDAY
State	:	FL
Zip	:	34691-3203
Country	:	US
Telephone Number	:	728-214-9099
Fax Number	:

Provider Business Practice Location Address
First Line	:	34125 US HIGHWAY 19 N STE 200
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-2115
Country	:	US
Telephone Number	:	728-214-9099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	12/08/2025

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