Provider Demographics
NPI:1528624905
Name:KELLER, ERIN CHRISTINE (APRN, FNP-BC, CCRN)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:CHRISTINE
Last Name:KELLER
Suffix:
Gender:F
Credentials:APRN, FNP-BC, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 BRETT FRAZIER DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-2888
Mailing Address - Country:US
Mailing Address - Phone:502-649-1887
Mailing Address - Fax:
Practice Address - Street 1:1460 BLUEGRASS AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-1272
Practice Address - Country:US
Practice Address - Phone:502-361-8496
Practice Address - Fax:502-361-3377
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-11
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013256363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily