# NATALIE A KEEGAN ARNP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053509315
- **Authorized official:** NATALIE KEEGAN ARNP (PRESIDENT)
- **Authorized official phone:** (772) 345-3056

## Contact information

- **Practice address:** 12021 SW ELSINORE DR, PORT ST LUCIE, FL 34987-2191
- **Practice address phone:** (772) 345-3056
- **Mailing address:** 12021 SW ELSINORE DR, PORT ST LUCIE, FL 34987-2191
- **Mailing address phone:** (772) 345-3056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1564272 | FL | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 06/11/2009