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ALTHEA CORWYN KEELING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(202) 483-8196
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
CNP-02070
NM
363LF0000X
Family Nurse Practitioner
RN1060363
DC
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2270218
MA
363LW0102X
Women's Health Nurse Practitioner
CNP-02070
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35623039
NM
Enumeration date
10/05/2012
Last updated
03/03/2022
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