Provider Demographics
NPI:1225367279
Name:KEEGAN, SENTA ELIZABETH (CRNA)
Entity Type:Individual
Prefix:MS
First Name:SENTA
Middle Name:ELIZABETH
Last Name:KEEGAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:SENTA
Other - Middle Name:E
Other - Last Name:SUSKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:3100 SPRING FOREST RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2880
Mailing Address - Country:US
Mailing Address - Phone:919-882-7908
Mailing Address - Fax:919-873-9821
Practice Address - Street 1:44045 RIVERSIDE PKWY
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5101
Practice Address - Country:US
Practice Address - Phone:703-858-6000
Practice Address - Fax:571-209-6465
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN554315367500000X
VA0024170634367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA171462Medicare PIN