Provider Demographics
NPI:1053505404
Name:KLORER, ERIN E (MSN, NP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:E
Last Name:KLORER
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 GLENDALE AVE
Mailing Address - Street 2:RUPPERT HEALTH CENTER, MAIL STOP 1196
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-5811
Mailing Address - Country:US
Mailing Address - Phone:419-383-3787
Mailing Address - Fax:419-383-6046
Practice Address - Street 1:3120 GLENDALE AVE
Practice Address - Street 2:RUPPERT HEALTH CENTER, MAIL STOP 1196
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-5811
Practice Address - Country:US
Practice Address - Phone:419-383-3787
Practice Address - Fax:419-383-6046
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN318584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI470425139OtherMI LICENSE
OHRN318584OtherOH LICENSE