Individual provider · Type 1 NPI

Stacy A. Keller, NP

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1053493320 Active

Practice location

705 Riley Hospital Dr, Roc 4210
Indianapolis, IN 46202-5109

Call (317) 944-3774 Map

Fax (317) 944-8521

Mailing address

PO Box 1026
Indianapolis, IN 46206-1026

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71001660 (IN)
Pediatric Nurse Practitioner 363LP0200X28121823 (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053493320

Stacy A. Keller, NP's National Provider Identifier is 1053493320, issued on Oct 19, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 14, 2011.