Keegan, Mary J
Keegan, Mary J is an individual health care provider with primary practice located at 3660 Vista Ave , Saint Louis MO 63110-2540. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Keegan, Mary J can be contacted via phone (314) 977-6100.Contact Information
Primary practice address
3660 Vista Ave
Saint Louis MO 63110-2540
Phone: (314) 977-6100
Fax: (314) 977-6137
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 082605 | Missouri |
Nursing Service Providers / Ambulatory Care | 163WP2201X | 082605 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 082605 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 082605 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 082605 | Missouri |
Profile Details
NPI number | 1336157213 |
---|---|
LBN Legal business name | Keegan, Mary J |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2006 |
Last updated | Sep 22nd, 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.
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