Individual
MS. CHRISTINE T. KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
419058-1
NY
363L00000X
Nurse Practitioner
Primary
UP005155B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02349517
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039812
MEDICARE GROUP
PA
01
—
P00059960
RR MEDICARE PIN
PA
Enumeration date
03/22/2006
Last updated
08/02/2011
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