Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Rose Keillor

Individual provider Family Nurse Practitioner · NPI 1154067783

Heather Rose Keillor is a Family Nurse Practitioner in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

30920 Southfield Rd
Southfield, MI 48076-7738
Phone: (248) 647-7472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704344185 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2021159546 (MI)

Record details

NPI number1154067783
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2022
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

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