Provider Demographics
NPI:1871827295
Name:O'KEEFFE, RENAE JEAN (NP)
Entity Type:Individual
Prefix:MRS
First Name:RENAE
Middle Name:JEAN
Last Name:O'KEEFFE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:915 N MILPAS ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2331
Mailing Address - Country:US
Mailing Address - Phone:805-617-7858
Mailing Address - Fax:805-963-8880
Practice Address - Street 1:970 EMBARCADERO DEL MAR
Practice Address - Street 2:
Practice Address - City:ISLA VISTA
Practice Address - State:CA
Practice Address - Zip Code:93117-4887
Practice Address - Country:US
Practice Address - Phone:805-968-1511
Practice Address - Fax:805-968-7041
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2015-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA19096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily