Provider Demographics
NPI:1598253155
Name:SAUVE, KEITH (BSN)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:
Last Name:SAUVE
Suffix:
Gender:M
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 ETHENS CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1494
Mailing Address - Country:US
Mailing Address - Phone:512-623-9992
Mailing Address - Fax:
Practice Address - Street 1:1725 SE 28TH LOOP STE 102
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5328
Practice Address - Country:US
Practice Address - Phone:352-629-1743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-28
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019412363LA2100X
VA0001266617163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine