Keating, Shannon M.

Keating, Shannon M. is an individual health care provider with primary practice located at 901 45Th St , Mangonia Park FL 33407-2413. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Keating, Shannon M. can be contacted via phone (561) 882-9944.

Contact Information

Primary practice address
901 45Th St Mangonia Park FL 33407-2413
Phone: (561) 882-9944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-990109 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9189449 Florida

Profile Details

NPI number 1447239215
LBN Legal business name Keating, Shannon M.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447239215 NPPES
Florida Other Y044E BCBS
Florida MEDICAID 305951100 BCBS

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