Individual provider · Type 1 NPI

Raven Keith

Nurse Practitioner · Columbia, MD

NPI number 1417867888 Active

Practice location

5500 Knoll North Dr Ste 440
Columbia, MD 21045-2364

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR216823 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1417867888

Raven Keith's National Provider Identifier is 1417867888, issued on Sep 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, MD. The record was last updated on Sep 9, 2026.