Provider Demographics
NPI:1356453658
Name:O'KEEFE, HELENE M (CNM)
Entity Type:Individual
Prefix:MS
First Name:HELENE
Middle Name:M
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-9015
Mailing Address - Country:US
Mailing Address - Phone:410-292-8051
Mailing Address - Fax:
Practice Address - Street 1:201 W PRESTON ST
Practice Address - Street 2:ROOM 309
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2301
Practice Address - Country:US
Practice Address - Phone:410-767-6723
Practice Address - Fax:410-333-5233
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR054595367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife