Provider Demographics
NPI:1194951889
Name:O'KEEFE, MARGIE ANNE (RN, BSN)
Entity type:Individual
Prefix:
First Name:MARGIE
Middle Name:ANNE
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2292 US 41 W
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-2483
Mailing Address - Country:US
Mailing Address - Phone:906-361-1966
Mailing Address - Fax:
Practice Address - Street 1:142 CHIPPEWA DR
Practice Address - Street 2:
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-1008
Practice Address - Country:US
Practice Address - Phone:906-361-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704184622163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)