Provider Demographics
NPI:1215611900
Name:KEANE, ERIN BETH (RN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:BETH
Last Name:KEANE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 STAHL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3260
Mailing Address - Country:US
Mailing Address - Phone:215-738-1484
Mailing Address - Fax:
Practice Address - Street 1:1311 BRISTOL PIKE STE 120
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-6455
Practice Address - Country:US
Practice Address - Phone:215-632-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN631598163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse