Nora Miriam Keith, AGACNP-BC
Individual provider Active NPI Adult Health Nurse Practitioner · Manchester, MI
NPI 1982306841 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1982306841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 4704348967 (MI)
- Practice address
- 1014 Deer Vly
Manchester, MI 48158-9482 - Phone
- (586) 383-7790
- NPI assigned
- Mar 21, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704348967 | MI | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704348967 | MI | |
| Gerontology Nurse Practitioner | 363LG0600X | 4704348967 | MI | |
| Adult Health Nurse Practitioner | 363LA2200X | 4704348967 | MI | Yes |
Addresses
Primary practice location
1014 Deer Vly
Manchester, MI 48158-9482
Mailing address
1014 Deer Vly
Manchester, MI 48158-9482
Phone (586) 383-7790
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All providers in Manchester, MI · Adult Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. 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.