| Doctor Name: | DIANE MCKEEFF |
| NPI Number: | 1003816117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NPP36241 |
| Business Practice Address: | 360 Kingstown Rd Ste 104 Narragansett, RI - 028823239 |
| Business Phone Number: | 4017891086 |
| Business Fax Number: | 4017895344 |
| Mailing Address: | 360 Kingstown Rd, Ste 104 NARRAGANSETT |
| State: | RI |
| Postal Code: | 028823239 |
| Phone Number: | 4017891086 |
| Fax Number: | 4017895344 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 09/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NPP36241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |