Individual
MRS. MARGARET R KEIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN00676
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0483739
TAX ID #
PW
05
—
1043302482
—
RI
01
—
709004149
MEDICARE GROUP PTAN
RI
Enumeration date
09/29/2006
Last updated
04/01/2016
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