Individual provider · Type 1 NPI
Lisa O'Keefe, R.N., A.G.N.P
Adult Health Nurse Practitioner · Dyer, IN
NPI number
1114336989
Active
Practice location
24 Joliet St
Dyer, IN 46311-1705
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 28172567A (IN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71005092A (IN) |
| Adult Health Nurse Practitioner | 363LA2200X | 28172567A (IN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1114336989
Lisa O'Keefe, R.N., A.G.N.P's National Provider Identifier is 1114336989, issued on Aug 6, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dyer, IN. The record was last updated on Jul 9, 2020.