person
Stacy A Keller, NP
Pediatric Nurse Practitioner in Indianapolis, Indiana
NPI 1053493320

Stacy A Keller is a Pediatric Nurse Practitioner based in Indianapolis, IN and is specialized in Pediatrics. Stacy A Keller practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Stacy A Keller is 1053493320 and holds a License No. 71001660 (Indiana).

The current practice location address for Stacy A Keller is 705 Riley Hospital Dr, Indianapolis, IN and can be reached out via phone at 317-944-3774 and via fax at 317-944-8521. You can also correspond with Stacy A Keller through the mailing address at PO BOX 1026, INDIANAPOLIS, IN - 46206-1026 (mailing address contact number: 317-274-1201).

Location: 705 Riley Hospital Dr, Indianapolis, IN, 46206-1026
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Provider Profile Details
NPI Number
1053493320
Provider Name
Stacy A Keller
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
705 Riley Hospital Dr, Indianapolis, IN, 46206-1026
Phone Number
317-944-3774
Fax Number
317-944-8521
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200467770 05 IN
institution
Provider Business Practice Location Address Details
Address
705 Riley Hospital Dr
City
State
Zip
46202-5109
Phone Number
317-944-3774
Fax Number
317-944-8521
person
Provider Business Mailing Address Details
Address
705 Riley Hospital Dr
City
State
Zip
46202-5109
Phone Number
317-944-3774
Fax Number
317-944-8521
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
71001660 (Indiana)
Definition
Definition to come...
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