Individual provider · Type 1 NPI

Lacey Keller, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1548713290 Active

Practice location

8075 N Shadeland Ave, Ste 200
Indianapolis, IN 46250-2693

Mailing address

6626 E 75th St, Suite 500
Indianapolis, IN 46250-2805

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28187969A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71006524A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1548713290

Lacey Keller, NP's National Provider Identifier is 1548713290, issued on Jul 29, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 15, 2021.