Provider Demographics
NPI:1679190243
Name:PARTEE, KEELA CARR (CRNP)
Entity type:Individual
Prefix:
First Name:KEELA
Middle Name:CARR
Last Name:PARTEE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 SNAKE HILL RD
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-1047
Mailing Address - Country:US
Mailing Address - Phone:205-661-1214
Mailing Address - Fax:
Practice Address - Street 1:5892 TRUSSVILLE CROSSINGS PKWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-8633
Practice Address - Country:US
Practice Address - Phone:205-374-9339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-159547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily