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Individual

SHANNON MICHELLE KEEF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
260321
NC
363LA2200X
Adult Health Nurse Practitioner
5006623
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
260321
NC
363LG0600X
Gerontology Nurse Practitioner
5006623
NC
363LP2300X
Primary Care Nurse Practitioner
5006623
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558791541
NC
Enumeration date
11/12/2013
Last updated
05/05/2016
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