Individual
NICOLE L KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3349 NJ-138 BLDG. B SUITE F, WALL TOWNSHIP, NJ 07719
(732) 280-5464
Mailing address
4 ELIZABETH PL, MONMOUTH BEACH, NJ 07750-1006
(908) 285-4661
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ15042100
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15042100
NJ
Other
Enumeration date
01/08/2025
Last updated
02/03/2025
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