Provider Demographics
NPI:1326134024
Name:KEELER, CLAIRE C (CNP)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:C
Last Name:KEELER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:CATHERINE
Other - Last Name:KEELER-MCLOUGHLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, CPNP, CDE
Mailing Address - Street 1:1301 BARBARA JORDAN BLVD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-3077
Mailing Address - Country:US
Mailing Address - Phone:512-628-1830
Mailing Address - Fax:512-628-1831
Practice Address - Street 1:1301 BARBARA JORDAN BLVD
Practice Address - Street 2:SUITE #200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3077
Practice Address - Country:US
Practice Address - Phone:512-628-1830
Practice Address - Fax:512-628-1831
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX739601363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX296510501Medicaid
TX296510501Medicaid