National Provider Identifier
Theresa Keller, FNP-C
Theresa Keller, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 257-1107.
Profile Overview
- NPI
- 1447085733
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- September 05, 2024
- Last Updated
- October 11, 2024
Practice Location
- 1051 Craft RD
- Ithaca, NY 14850-1016
Phone: (607) 257-1107
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1447085733
- Entity Type
- Individual
- Last Name
- Keller
- First Name
- Theresa
- Credential
- FNP-C
- Mailing Street Address
- 1051 Craft RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1016
- Mailing Country
- US
- Mailing Phone
- (607) 257-1107
- Mailing Fax
- (607) 257-0369
- Practice Street Address
- 1051 Craft RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1016
- Practice Country
- US
- Practice Phone
- (607) 257-1107
- Enumeration Date
- September 05, 2024
- Last Updated
- October 11, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)