Provider Demographics
NPI:1154159879
Name:KEATING, CALINA (RN, CCRN-NICU, IBCLC)
Entity type:Individual
Prefix:
First Name:CALINA
Middle Name:
Last Name:KEATING
Suffix:
Gender:F
Credentials:RN, CCRN-NICU, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MOUNT PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-2112
Mailing Address - Country:US
Mailing Address - Phone:612-232-7674
Mailing Address - Fax:
Practice Address - Street 1:16 MOUNT PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-2112
Practice Address - Country:US
Practice Address - Phone:612-232-7674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN80281163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant