Keller, Ranita R

Keller, Ranita R is an individual health care provider with primary practice located at 2122 Troy Rd Ste 130 , Edwardsville IL 62025-2540. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Keller, Ranita R can be contacted via phone (618) 800-4500.

Contact Information

Primary practice address
2122 Troy Rd Ste 130 Edwardsville IL 62025-2540
Phone: (618) 800-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000539 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2015032216 Missouri

Profile Details

NPI number 1083096895
LBN Legal business name Keller, Ranita R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Jun 2nd, 2021 - about 4 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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