Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN00615 | RI |
NPI | 1003816117 |
---|---|
Provider Name | Diane Mckeeff |
First Address | Narragansett, RI 02882-3326 |
Second Address | Wakefield, RI 02879-3617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 29/09/2016 |