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Individual

CATHERINE ANNE KELLER-WARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0251
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21307
SC
363LA2200X
Adult Health Nurse Practitioner
26NJ000882
NJ
363LP2300X
Primary Care Nurse Practitioner
ARNP9448158
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0100412
NJ
05
101247300
FL
Enumeration date
05/06/2006
Last updated
11/10/2021
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