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Contact Information

NICOLE KEEGAN, NP
300 2ND AVE
LONG BRANCH, NJ07740-6303
 Phone: 732-222-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NICOLE KEEGAN · (Female)

NPI # 1164752077
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/29/2009
Last updated 05/14/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00253100
  • NJ License # 26NJ002531100
  • NJ Other 176236YGTA MEDICARE NOVITAS
Hospital affiliation(s)
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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