Individual
MISS DEVAN MARIE KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4131 NW 13TH ST STE 101, GAINESVILLE, FL 32609-1858
(352) 376-1887
Mailing address
4131 NW 13TH ST STE 101, GAINESVILLE, FL 32609-1858
(352) 376-1887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9324638
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9324638
FL
Other
Enumeration date
12/05/2015
Last updated
02/22/2016
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