Keefe, Sue

Keefe, Sue is an individual health care provider with primary practice located at 114 Woodland St Dept Of Geriatrics, Hartford CT 06105-1208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Keefe, Sue can be contacted via phone (860) 714-4749.

Contact Information

Primary practice address
114 Woodland St Dept Of Geriatrics Hartford CT 06105-1208
Phone: (860) 714-4749
Fax: (860) 714-8439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 001744 Connecticut

Profile Details

NPI number 1821098989
LBN Legal business name Keefe, Sue
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Feb 24th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821098989 NPPES
Connecticut MEDICAID 004222965

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