Individual
MARY JEANNE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
401 CARLSON PARKWAY, CP340, MINNETONKA, MN 55305-5387
(952) 992-3604
(612) 866-0459
Mailing address
1718 W 66TH ST, RICHFIELD, MN 55423-2138
(612) 861-1080
(612) 866-0459
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
136908-23
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553215900
—
MN
Enumeration date
10/10/2005
Last updated
09/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us