Provider Demographics
NPI:1437451713
Name:KEYS, TERESSA J (RN)
Entity Type:Individual
Prefix:MS
First Name:TERESSA
Middle Name:J
Last Name:KEYS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-6342
Mailing Address - Country:US
Mailing Address - Phone:740-891-0687
Mailing Address - Fax:
Practice Address - Street 1:54 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-6342
Practice Address - Country:US
Practice Address - Phone:740-891-0687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH247102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse