Individual
PRIYA KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AG-ACNP-BC
Contact information
Practice address
3200 PROVIDENCE DR STE 111, ANCHORAGE, AK 99508-4662
(907) 212-7890
Mailing address
1002 W 15TH AVE, ANCHORAGE, AK 99501-4942
(918) 260-5698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
159071
AK
390200000X
Student in an Organized Health Care Education/Training Program
201392788RN
OR
Other
Enumeration date
06/18/2018
Last updated
07/07/2020
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