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Eileen F Keane, PNP
Pediatric Nurse Practitioner in New Haven, Connecticut
NPI 1962413401

Eileen F Keane is a Pediatric Nurse Practitioner based in New Haven, CT and is specialized in Pediatrics. Eileen F Keane practices in New Haven, CT and has the professional credentials of PNP. The NPI Number for Eileen F Keane is 1962413401 and holds a License No. 006169 (Connecticut).

The current practice location address for Eileen F Keane is 374 Grand Ave, New Haven, CT and can be reached out via phone at 203-777-7411 and via fax at 203-777-8506.

Location: 374 Grand Ave, New Haven, CT, 06513-3733
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Provider Profile Details
NPI Number
1962413401
Provider Name
Eileen F Keane
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
374 Grand Ave, New Haven, CT, 06513-3733
Phone Number
203-777-7411
Fax Number
203-777-8506
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP9903 01 MA BCBS
Y10141 01 MA BCBS-GROUP
1300709 05 MA
56780 01 MA FALLON SELECT
institution
Provider Business Practice Location Address Details
Address
374 Grand Ave
City
State
Zip
06513-3733
Phone Number
203-777-7411
Fax Number
203-777-8506
person
Provider Business Mailing Address Details
Address
374 Grand Ave
City
State
Zip
06513-3733
Phone Number
203-777-7411
Fax Number
203-777-8506
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
6169 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
006169 (Connecticut)
Definition
Definition to come...
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