Provider Demographics
NPI:1700971439
Name:O'KEEFE, STEFANIE KIRA (RN)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:KIRA
Last Name:O'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 1:1814 ABERDEEN AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-4535
Mailing Address - Country:US
Mailing Address - Phone:206-764-2199
Mailing Address - Fax:206-764-2922
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-764-2199
Practice Address - Fax:206-764-2922
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00166519163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse