Individual
KEAGAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
614 W SUPERIOR ST, ALMA, MI 48801-1504
(989) 463-7181
Mailing address
614 W SUPERIOR ST, ALMA, MI 48801-1504
(989) 463-7181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704318843
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/15/2020
Last updated
04/05/2024
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