NPI 1063650182 DR. MARY ELIZABETH KEAVENY NURSE PRACTITIONER WEST ROXBURY MA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Mary Elizabeth Keaveny - NPI: 1063650182

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. MARY ELIZABETH KEAVENY
NPI Number: 1063650182
Entity Type Code: Individual (1)
Gender: F
Credentials: NURSE PRACTITIONER
License Number: 117221
Business Practice Address: 68 Westover St
West Roxbury, MA - 021321342
Business Phone Number: 6173238497
Business Fax Number: 6174212706
Mailing Address: 68 Westover St,
WEST ROXBURY
State: MA
Postal Code: 021321342
Phone Number: 6173238497
Fax Number: 6174212706
NPI Enumeration Date: 01/27/2009
NPI Last Update Date: 01/27/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LA2100X
License Number: 117221
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MA
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Acute Care
Taxonomy Definition:


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