Individual
MICHELLE KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2135 NW 40TH TER, STE B, GAINESVILLE, FL 32605-5801
(352) 224-5700
Mailing address
2130 NW 31ST AVE, APT K1, GAINESVILLE, FL 32605-2319
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5216349
FL
376K00000X
Nurse's Aide
CNA244787
FL
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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