Provider Demographics
NPI:1679697650
Name:KEELING, WILHELMINA (RN)
Entity type:Individual
Prefix:
First Name:WILHELMINA
Middle Name:
Last Name:KEELING
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 1:1525 CHERBONEAU PL
Mailing Address - Street 2:#18B
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-2842
Mailing Address - Country:US
Mailing Address - Phone:313-842-1491
Mailing Address - Fax:
Practice Address - Street 1:5400 EAST SEVEN MILE
Practice Address - Street 2:DETROIT HEALTH DEPT. - NORTHEAST HEALTH CENTER
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234
Practice Address - Country:US
Practice Address - Phone:313-852-4243
Practice Address - Fax:313-876-0177
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704099286163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator