Individual
EDWEANA KATRICE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2400 W FRIENDLY AVE, GREENSBORO, NC 27403-1109
(336) 420-1055
Mailing address
2400 W FRIENDLY AVE, GREENSBORO, NC 27403-1109
(336) 420-1055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021836
NC
363LF0000X
Family Nurse Practitioner
5021836
NC
Other
Enumeration date
03/24/2025
Last updated
03/18/2026
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