Nora Miriam Keith, AGACNP-BC
Nurse Practitioner, Adult Health in Manchester, MI. Individual provider (NPI-1).
NPI number1982306841
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1982306841
- Entity type
- Individual (NPI-1)
- Name
- Nora Miriam Keith
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 4704348967 | MI | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 4704348967 | MI | |
| 363LG0600X | Nurse Practitioner, Gerontology | 4704348967 | MI |
Practice location
1014 Deer VlyManchester, MI 48158-9482
Phone 586-383-7790
Mailing address
1014 Deer VlyManchester, MI 48158-9482
Phone 586-383-7790
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