Individual provider · Type 1 NPI
Keitha K. Mountcstle, RN, ED.D., CNS, NNP
Neonatal Clinical Nurse Specialist · Clovis, CA
NPI number
1972500189
Active
Practice location
205 W Decatur Ave
Clovis, CA 93611-7124
Fax (559) 278-6360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 10646 (CA) |
| Neonatal Clinical Nurse Specialist Primary | 364SN0000X | 708 (CA) |
Neonatal Clinical Nurse Specialist: Definition to come...
About NPI 1972500189
Keitha K. Mountcstle, RN, ED.D., CNS, NNP's National Provider Identifier is 1972500189, issued on Jul 1, 2005. The primary taxonomy on file is Neonatal Clinical Nurse Specialist (364SN0000X), and the practice location is in Clovis, CA. The record was last updated on Jul 13, 2026.