Keen, Julie Anne

Keen, Julie Anne is an individual health care provider with primary practice located at 17360 Brookhurst St Attn: Mcmf Credentialing Department, Fountain Valley CA 92708-3720. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Keen, Julie Anne can be contacted via phone (999) 999-9999.

Contact Information

Primary practice address
17360 Brookhurst St Attn: Mcmf Credentialing Department Fountain Valley CA 92708-3720
Phone: (999) 999-9999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9456 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9456 California

Profile Details

NPI number 1376830117
LBN Legal business name Keen, Julie Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2011
Last updated Mar 28th, 2016 - about 10 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 1376830117 NPPES
California Other 9456 LICENSE

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