Individual provider · Type 1 NPI
Mara E. Keith, AGNP
Family Nurse Practitioner · Charlotte, NC
NPI number
1184013534
Active
Practice location
8401 Medical Plaza Dr, Ste 365
Charlotte, NC 28262-8797
Fax (704) 943-3699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5007439 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1184013534
Mara E. Keith, AGNP's National Provider Identifier is 1184013534, issued on Jan 22, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 3, 2016.