Individual provider · Type 1 NPI

Mary C. Keane, APN-CNP

Nurse Practitioner · St. Louis, MO

NPI number 1043551807 Active

Practice location

1031 Bellevue Ave, Suite 300
St. Louis, MO 63117-1818

Call (314) 647-9444 Map

Fax (314) 647-7317

Mailing address

PO Box 23340
St. Louis, MO 63156-3340

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	2013000128 (MO)
Registered Nurse	163W00000X	2006021094 (MO)
Nurse Practitioner Primary	363L00000X	277001322 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043551807

Mary C. Keane, APN-CNP's National Provider Identifier is 1043551807, issued on Mar 4, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 9, 2026.