Theresa M Keller is a Family in La Crosse, Wisconsin. Theresa M Keller practices all healthcare services and medical treatments related to Family. The NPI Number for Theresa M Keller is 1851332688. The last update date is 2019-12-05.
Theresa M Keller's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Theresa M Keller is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa M Keller |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1851332688 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2019-12-05 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015429 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | A-064032 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76372 | IA | -- | |
| 01-07133 | MN | MEDICA | |
| 47G21KE | MN | BLUE CROSS BLUE SHIELD | |
| 295450800 | MN | -- |
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Where is the Theresa M Keller located?
The Theresa M Keller is located at 1836 South Ave, La Crosse, WI 546015429.
Could you please provide the complete physical location address of Theresa M Keller?
The Theresa M Keller is physically situated at 1836 South Ave, in the city of La Crosse, state of WI, with the postal code 546015429.
What is the Theresa M Keller's specialty and taxonomy code?
The Theresa M Keller's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
What is the area of specialization for Theresa M Keller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theresa M Keller is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
When was the information pertaining to Theresa M Keller most recently updated or revised?
The details related to Theresa M Keller, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-05.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC