Individual
STEPHANIE KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-9141
(434) 924-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
0001256458
VA
2080P0205X
Pediatric Endocrinology Physician
0024179798
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024179798
VA
Other
Enumeration date
09/09/2020
Last updated
08/10/2023
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