Individual
MONICA W KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP, ANP-C
Contact information
Practice address
2995 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1435
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
28128435A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71002946A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000772291
ANTHEM PROVIDER NUMBER
IN
05
—
200964040
—
IN
Enumeration date
04/14/2008
Last updated
01/18/2013
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