Provider Demographics
NPI:1770660698
Name:KEEGAN, DENISE (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:
Last Name:KEEGAN
Suffix:
Gender:F
Credentials:CRNP
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Other - Last Name:
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Mailing Address - Street 1:1648 HUNTINGDON PIKE
Mailing Address - Street 2:MEDICAL STAFF OFFICE 1ST FLR
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8001
Mailing Address - Country:US
Mailing Address - Phone:215-938-3450
Mailing Address - Fax:215-938-3829
Practice Address - Street 1:23 BUSTLETON PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6446
Practice Address - Country:US
Practice Address - Phone:215-464-0770
Practice Address - Fax:215-464-8208
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP004415C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S61300Medicare UPIN
PA006740Medicare PIN