Individual provider · Type 1 NPI

Lisa Keller, CPNP

Pediatric Nurse Practitioner · Madison, WI

NPI number 1316105075 Active

Practice location

1675 Highland Ave, Room P4 4118
Madison, WI 53792-0002

Fax (608) 265-9721

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X104212-030 (WI)
Pediatric Nurse Practitioner Primary 363LP0200X97062 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1316105075

Lisa Keller, CPNP's National Provider Identifier is 1316105075, issued on May 29, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Madison, WI. The record was last updated on May 29, 2008.