Provider Demographics
NPI:1972895704
Name:KEENAN, REBECCA LYNNE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LYNNE
Last Name:KEENAN
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:3950 WILLIAM PENN HWY
Mailing Address - Street 2:SUITE #3
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1870
Mailing Address - Country:US
Mailing Address - Phone:724-325-2133
Mailing Address - Fax:724-733-2278
Practice Address - Street 1:3950 WILLIAM PENN HWY
Practice Address - Street 2:SUITE #3
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1870
Practice Address - Country:US
Practice Address - Phone:724-325-2133
Practice Address - Fax:724-733-2278
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
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Provider Licenses
StateLicense IDTaxonomies
PASP010828363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics