Individual provider · Type 1 NPI
Lisa Keller
Family Nurse Practitioner · Forest Hills, NY
NPI number
1174016646
Active
Practice location
6838 Yellowstone Blvd Apt B43
Forest Hills, NY 11375-3426
Mailing address
576 Longacre Ave
Woodmere, NY 11598-2308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 747652 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F351233 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174016646
Lisa Keller's National Provider Identifier is 1174016646, issued on Jun 10, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Forest Hills, NY. The record was last updated on May 1, 2023.