Provider Demographics
NPI:1417835141
Name:KEEL, NASTASSIA MAE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:NASTASSIA
Middle Name:MAE
Last Name:KEEL
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 SUN VALLEY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-3535
Mailing Address - Country:US
Mailing Address - Phone:254-537-6700
Mailing Address - Fax:
Practice Address - Street 1:729 SUN VALLEY BLVD STE A
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:TX
Practice Address - Zip Code:76643-3535
Practice Address - Country:US
Practice Address - Phone:254-537-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program