MRS. KEENYA ANDERSON STATEN FNP-C NPI 1700223609

NPI Information

NPI: 1700223609
Provider Name: MRS. KEENYA ANDERSON STATEN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1701 SUNSET AVE STE 105C
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 969-0432
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MRS. Keenya Anderson Staten, FNP-C is a family nurse practitioner in Rocky Mount, NC. MRS. Keenya Anderson Staten, FNP-C NPI is 1700223609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1701 SUNSET AVE STE 105C
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 969-0432
Fax: (888) 977-1275

The enumeration date for this NPI number is 5/31/2013 and was last updated on 8/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5006213	NORTH CAROLINA	No
2	363LP2300X	Nurse Practitioner	Primary Care	5006213	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	5006213	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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