Provider Demographics
NPI:1972486215
Name:KEEGAN, HEIDI QUINN (CRNFA)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:QUINN
Last Name:KEEGAN
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4149 TRANQUILITY ST
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-2059
Mailing Address - Country:US
Mailing Address - Phone:215-378-3605
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 248
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-0248
Practice Address - Country:US
Practice Address - Phone:215-589-8718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN511640L163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant