Provider Demographics
NPI:1467464586
Name:KEYSAER, SANDRA H (RNBSN,MS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:H
Last Name:KEYSAER
Suffix:
Gender:F
Credentials:RNBSN,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 NORTHWOODS DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-1144
Mailing Address - Country:US
Mailing Address - Phone:615-890-8606
Mailing Address - Fax:
Practice Address - Street 1:2235 NORTHWOODS DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-1144
Practice Address - Country:US
Practice Address - Phone:615-890-8606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000040202163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNRN0000040202OtherRN