Christine Allison Keller, R.N.
Individual provider Active NPI Registered Nurse · Mukwonago, WI
NPI 1265667166 · NPPES record last updated May 20, 2009
Key facts
- NPI
- 1265667166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 105169030 (WI)
- Practice address
- 638 Pine St
Mukwonago, WI 53149-1247 - Phone
- (262) 363-5608
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105169030 | WI | MD | Maternal Newborn Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 105169030 | WI | Yes |
| Maternal Newborn Registered Nurse | 163WM0102X | 105169030 | WI | |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 105169030 | WI | |
| Low-Risk Neonatal Registered Nurse | 163WN0003X | 105169030 | WI |
Addresses
Primary practice location
638 Pine St
Mukwonago, WI 53149-1247
Mailing address
638 Pine St
Mukwonago, WI 53149-1247
Phone (262) 363-5608
Other providers in Mukwonago, WI
- Joanne Elizabeth Jessen
- Daniel E. Johnson
- Danika Brianne Johnson
- Sarah Elizabeth Jorgensen
- Joel Lee Kaczinski
- Lindsey Kempinski
- Erica Jean Knurr
- Charles Peter Koenings
- Hannah Brooke Koepp
- Cheri E Krause
All providers in Mukwonago, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.