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Individual

JANAYE NICHOLE KEIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
(269) 273-9611
Mailing address
3245 HEALTH DR, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704295544
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704295544
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669982104
MI
Enumeration date
10/11/2017
Last updated
02/02/2023
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