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Individual
MRS. SUZANNE HEIDI KEENAN
Active
Individual
MRS. SUZANNE HEIDI KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
070145
CT
163W00000X
Registered Nurse
390724
CA
363L00000X
Nurse Practitioner
Primary
NP17799
CA
363LA2200X
Adult Health Nurse Practitioner
003457
CT
Other
Enumeration date
10/05/2006
Last updated
02/18/2009
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