IndividualActive
Ann Keenan, AGNP, CCRN
NPI 1669211405 · Nurse Practitioner · Dededo, GU
Provider details
- NPI number
- 1669211405
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP, CCRN
- Sex
- Female
- Sole proprietor
- No
- License
- 100208 (GU)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
655 Harmon Loop Rd Ste 102
Dededo, GU 96929-6544
Phone: (671) 989-6600
Fax: (671) 989-8836
Mailing address
809 Chalan Pasaheru Unit 2
Tamuning, GU 96913-4132
Registry dates
- Enumerated
- 2024-05-21
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.