Provider Demographics
NPI:1659826667
Name:KEIL, CHRISTIE SHERIN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:SHERIN
Last Name:KEIL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:CHRISTIE
Other - Middle Name:SHERIN
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:601 ORKNEY ROAD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212
Mailing Address - Country:US
Mailing Address - Phone:973-930-4858
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:401 N. BROADWAY
Practice Address - Street 2:SUITE 2400
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-502-1284
Practice Address - Fax:410-502-6610
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023919363L00000X
MDR271638363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner