Doctor Name: | DEBORAH KEOHAN |
NPI Number: | 1801918008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN CS |
License Number: | 153775 |
Business Practice Address: | 500 W Cummings Park Suite 3900 Woburn, MA - 018016503 |
Business Phone Number: | 7818716550 |
Business Fax Number: | |
Mailing Address: | 170 Old Billerica Rd, BEDFORD |
State: | MA |
Postal Code: | 017301225 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 08/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364S00000X |
License Number: | 153775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |