Most Relevant Information
Provider Data
| NPI Number: | 1003016783 |
| Provider Name: | MEAGAN EMILY KEATON NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024167433 |
Most Important Dates
| Enumeration Date: | 07/20/2007 |
| Last Updated: | 03/22/2022 |
Provider Practice Location
5833 HARBOUR VIEW BLVD STE B
SUFFOLK
VA
234353760
Practice Location Phone/Fax
| Phone: | 7573374018 |
| Fax: | 5773374019 |
Provider Mailing Location
916 S 3RD ST
MOUNT VERNON
WA
982734324
Provider Mailing Phone/Fax
| Phone: | 3603365658 |
| Fax: | 3603365655 |