Individual
NICOLE MARIE KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 MARION ST, ROCHESTER, NY 14610-1122
(585) 472-1087
Mailing address
312 MARION ST, ROCHESTER, NY 14610-1122
(585) 472-1087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
650615
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
650615-1
NY
Other
Enumeration date
03/16/2015
Last updated
05/15/2023
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