Individual
MRS. YVONNE ELAINE KEEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1705 WAVERLY DR SE, ALBANY, OR 97322-6952
(541) 967-8221
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850007NP
OR
363LF0000X
Family Nurse Practitioner
25740.0942
WY
363LF0000X
Family Nurse Practitioner
36966
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25740.0942
WYOMING NURSING LICENSE
WY
01
—
36966
STATE BOARD OF NURSING
MT
05
—
500650453
—
OR
Enumeration date
01/16/2008
Last updated
03/17/2018
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