Provider Demographics
NPI:1023376803
Name:KEANE-BEEHLER, ANNE PATRICIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:PATRICIA
Last Name:KEANE-BEEHLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-3908
Mailing Address - Country:US
Mailing Address - Phone:718-327-8349
Mailing Address - Fax:
Practice Address - Street 1:1307 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-3908
Practice Address - Country:US
Practice Address - Phone:718-327-8349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303999163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool