Keeler, Hillary Marie

Keeler, Hillary Marie is an individual health care provider with primary practice located at 5045 W Grande Market Dr , Appleton WI 54913-8517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Keeler, Hillary Marie can be contacted via phone (920) 886-9380.

Contact Information

Primary practice address
5045 W Grande Market Dr Appleton WI 54913-8517
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1112333 Wisconsin

Profile Details

NPI number 1407529001
LBN Legal business name Keeler, Hillary Marie
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2021
Last updated Feb 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407529001 NPPES
Wisconsin MEDICAID 1112333

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