Provider Demographics
NPI:1750859765
Name:KEEFE, ARCADIA SMITH (RN)
Entity Type:Individual
Prefix:
First Name:ARCADIA
Middle Name:SMITH
Last Name:KEEFE
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 1:1950 DREW ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3913
Mailing Address - Country:US
Mailing Address - Phone:410-222-7247
Mailing Address - Fax:
Practice Address - Street 1:1950 DREW ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3913
Practice Address - Country:US
Practice Address - Phone:410-222-7247
Practice Address - Fax:410-222-4323
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210161163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health