ALICE MARIE KEENAN APN NPI 1073730495

NPI Information

  • NPI: 1073730495
  • Provider Name: ALICE MARIE KEENAN, APN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5045 ROUTE 130
    SUITE F
    DELRAN, NJ
    ZIP 08075
  • Phone: (856) 461-1717

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NPI Details

Alice Marie Keenan, APN is a pediatrics nurse practitioner in Delran, NJ. Alice Marie Keenan, APN NPI is 1073730495. 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:

5045 ROUTE 130
SUITE F
DELRAN, NJ
ZIP 08075-707
Phone: (856) 461-1717
Fax: (856) 461-1143

The NPI 1073730495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.

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
1363LP0200XNurse PractitionerPediatrics26NN06694700NEW JERSEYYes

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: 3/30/2025

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