Provider Demographics
NPI:1235218611
Name:KEEGAN, IRENE PATRICIA (RN,CWOCN)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:PATRICIA
Last Name:KEEGAN
Suffix:
Gender:F
Credentials:RN,CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7060 SPRINGHILL CIR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-2615
Mailing Address - Country:US
Mailing Address - Phone:952-937-9889
Mailing Address - Fax:
Practice Address - Street 1:7060 SPRINGHILL CIR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55346-2615
Practice Address - Country:US
Practice Address - Phone:952-937-9889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR064910-2163WE0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy