Provider Demographics
NPI:1043286172
Name:O'KEEFFE, CATHERINE (GNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:O'KEEFFE
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 MAIN ST
Mailing Address - Street 2:SUITE 706A, BICKFORD HEALTH ASSOCIATES, PC
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-2000
Mailing Address - Country:US
Mailing Address - Phone:508-362-1600
Mailing Address - Fax:508-362-1616
Practice Address - Street 1:714 MAIN ST
Practice Address - Street 2:SUITE 706A, BICKFORD HEALTH ASSOCIATES, PC
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-2000
Practice Address - Country:US
Practice Address - Phone:508-362-1600
Practice Address - Fax:508-362-1616
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159929363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0357243Medicaid
MAP00098249OtherRAILROAD MEDICARE
MANP0573OtherBCBS
MAP00098249OtherRAILROAD MEDICARE
MAR95761Medicare UPIN