Anne Harmon Keen, CRNP
Individual provider Active NPI Pediatric Nurse Practitioner · Greenville, AL
NPI 1609915974 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1609915974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 1065300 (AL)
- Practice address
- 46 L V Stabler Dr
Greenville, AL 36037-3865 - Phone
- (334) 382-9760
- Fax
- (334) 383-9331
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065300 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Rural Health Clinics, Inc | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1065300 | AL | Yes |
Addresses
Primary practice location
46 L V Stabler Dr
Greenville, AL 36037-3865
Mailing address
46 L V Stabler Dr
Greenville, AL 36037-3865
Phone (334) 382-9760
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128423 | Medicaid | AL | |
| 541003905 | Medicaid | AL | |
| 051077467 | Other | AL | BC PROVIDER NO |
Other providers in Greenville, AL
- Jessica Roberts Pierce PLLC
- Jessica Charnelle Johnson
- Jones Oxygen Inc
- Ellen Scott Jones
- Kanu J Patel, MD
- Misti Keen
- Judson Kilgore
- Brian N Kille
- Lakshmikantha Kumbla
- Sheldon R. Kushner
All providers in Greenville, AL · Pediatric Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. 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.