Individual provider · Type 1 NPI

Ann M. Keenan, AGNP, CCRN

Nurse Practitioner · Dededo, GU

NPI number 1669211405 Active

Practice location

655 Harmon Loop Rd Ste 102
Dededo, GU 96929-6544

Fax (671) 989-8836

Mailing address

809 Chalan Pasaheru Unit 2
Tamuning, GU 96913-4132

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X100208 (GU)

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 1669211405

Ann M. Keenan, AGNP, CCRN's National Provider Identifier is 1669211405, issued on May 21, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dededo, GU. The record was last updated on May 21, 2024.