| Doctor Name: | MS. MERRILL BETH KEETH |
| NPI Number: | 1114997954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP |
| License Number: | 10954 |
| Business Practice Address: | 4152 Sugar Pine Way Livermore, CA - 945516782 |
| Business Phone Number: | 9255191579 |
| Business Fax Number: | 9252261974 |
| Mailing Address: | 4152 Sugar Pine Way, LIVERMORE |
| State: | CA |
| Postal Code: | 945516782 |
| Phone Number: | 9255191579 |
| Fax Number: | 9252261974 |
| NPI Enumeration Date: | 01/24/2006 |
| NPI Last Update Date: | 01/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 10954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |