Keeling, Althea Corwyn
Keeling, Althea Corwyn is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Keeling, Althea Corwyn can be contacted via phone (202) 483-8196.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | CNP-02070 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN1060363 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | CNP-02070 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN2270218 | Massachusetts |
Profile Details
| NPI number | 1942552567 |
|---|---|
| LBN Legal business name | Keeling, Althea Corwyn |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2012 |
| Last updated | Mar 3rd, 2022 - 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 | 1942552567 | NPPES |
| New Mexico | MEDICAID | 35623039 |
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