Individual
MRS. HEATHER GRACE MCKEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 678-0080
(814) 678-1106
Mailing address
115 HEATH LN, TIONESTA, PA 16353-7536
(724) 433-6157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021465
CRNP PRESCRIPTIVE AUTHORITY
PA
Enumeration date
09/26/2014
Last updated
08/30/2022
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