Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANIKA JANAE KEAGLE, AGPCNP
Active Sole ProprietorTANIKA JANAE KEAGLE, AGPCNP is a Gerontological Nurse Practitioner healthcare provider located in IMPERIAL BEACH, California. NPI 1265249916 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · IMPERIAL BEACH, CA
Registration Details
- NPI Number
- 1265249916
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2024 (1.6203584301949 yrs)
- Last Updated
- Dec 16, 2024
- License
-
0024191131 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
568 9TH STIMPERIAL BEACH, CA, 919321544Browse CA providers · Browse ZIP 91932
- Phone
- 7578229965
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.