Individual
THERESA DIANE KEEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2311
(719) 285-2861
(719) 285-2101
Mailing address
2920 N CASCADE AVE, FL 3, COLORADO SPRINGS, CO 80907-6262
(719) 285-2861
(719) 285-2101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0100024-CRNA
CO
Other
Enumeration date
01/07/2011
Last updated
07/21/2022
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