person
Mr. Mateland Lestery Keith III, PMHNP-ABC
Psychiatric/Mental Health Registered Nurse in Venice, Florida
NPI 1457964843

Mateland Lestery Keith III is a Psychiatric/Mental Health Registered Nurse based in Venice, FL and is specialized in Psychiatric/Mental Health. Mateland Lestery Keith III practices in Venice, FL and has the professional credentials of PMHNP-ABC. The NPI Number for Mateland Lestery Keith III is 1457964843 and holds a License No. 28243714A (Florida).

The current practice location address for Mateland Lestery Keith III is 421 Commercial Ct Ste B, Venice, FL and can be reached out via phone at 941-244-4377 and via fax at 941-445-4186.

Location: 421 Commercial Ct Ste B, Venice, FL, 34292-1656
person
Provider Profile Details
NPI Number
1457964843
Provider Name
Mateland Lestery Keith III
Credential
PMHNP-ABC
Provider Entity Type
Individual
Gender
Male
Address
421 Commercial Ct Ste B, Venice, FL, 34292-1656
Phone Number
941-244-4377
Fax Number
941-445-4186
Provider Enumeration Date
08/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
421 Commercial Ct Ste B
City
State
Zip
34292-1656
Phone Number
941-244-4377
Fax Number
941-445-4186
person
Provider Business Mailing Address Details
Address
421 Commercial Ct Ste B
City
State
Zip
34292-1656
Phone Number
941-244-4377
Fax Number
941-445-4186
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
28243714A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
28243714A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
28243714A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
11013737 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
28243714A (Indiana)
Definition
Definition to come...
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