Individual
TIFFANY ANN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3282
(717) 231-8964
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3282
(717) 231-8964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN529932L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN529932L
PA
Other
Enumeration date
11/25/2014
Last updated
12/10/2020
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