Active NPIIndividual provider

Lisa Keegan, AGPCNP-BC, WHNP-BC

Nurse Practitioner, Primary Care in Medford, Massachusetts

NPI Number1306381785
Practice location
124 Professors Row, Medford, MA 02155-5816
Fax
617-627-3592
Last updated
July 7, 2022

Lisa Keegan is a Nurse Practitioner, Primary Care based in Medford, MA. Lisa Keegan practices in Medford, MA and has the professional credentials of AGPCNP-BC, WHNP-BC. The NPI Number for Lisa Keegan is 1306381785 and holds a License No. RN2299338 (MA). The current practice location address for Lisa Keegan is 124 Professors Row, Medford, MA 02155-5816 and can be reached out via phone at 617-627-3350 and via fax at 617-627-3592.

Provider Profile Details

NPI Number
1306381785
Provider Name
Lisa Keegan
Credential
AGPCNP-BC, WHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
124 Professors Row, Medford, MA 02155-5816
Phone Number
617-627-3350
Fax Number
617-627-3592
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
December 21, 2016
Last Update Date
July 7, 2022
Certification Date
April 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 Professors Row
Medford, MA 02155-5816
Zip
02155-5816
Phone Number
617-627-3350
Fax Number
617-627-3592
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
124 Professors Row
Medford, MA 02155-5816
City
Medford
State
MA
Zip
02155-5816
Phone Number
617-627-3350

License Information

License Number (1)
RN2299338
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Women's Health · 363LW0102X
License Number (2)
RN2299338
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa Keegan, AGPCNP-BC, WHNP-BC?

The NPI number of Lisa Keegan, AGPCNP-BC, WHNP-BC is 1306381785. It was assigned on December 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Lisa Keegan, AGPCNP-BC, WHNP-BC?

Lisa Keegan, AGPCNP-BC, WHNP-BC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number RN2299338.

Where does Lisa Keegan, AGPCNP-BC, WHNP-BC practice?

The practice location is 124 Professors Row, Medford, MA 02155-5816. The office can be reached at 617-627-3350 (phone) or 617-627-3592 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306381785 directly on the NPPES registry website.

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