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:
Health care specialties
Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447239215 | NPPES |
Florida | Other | Y044E | BCBS |
Florida | MEDICAID | 305951100 | BCBS |
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