Provider Demographics
NPI:1265237705
Name:KEITH, JULIE BELLE (RN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:BELLE
Last Name:KEITH
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-4501
Mailing Address - Country:US
Mailing Address - Phone:712-229-6525
Mailing Address - Fax:
Practice Address - Street 1:513 N 3RD ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-4501
Practice Address - Country:US
Practice Address - Phone:712-229-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE102983163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse