Individual
KEISHA MONICE VILSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4202 INDIAN HEAD HIGHWAY, INDIAN HEAD, MD 20640-3306
(301) 944-1087
(301) 220-6329
Mailing address
4202 INDIAN HEAD HIGHWAY, DR. CHINNADURAI DEVADASON SCHOOL BASED HEALTH CENTER, INDIAN HEAD, MD 20640
(301) 944-1087
(301) 220-6329
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R164209
MD
Other
Enumeration date
08/31/2010
Last updated
01/07/2026
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