Provider Demographics
NPI:1073847331
Name:KLEIN, ERIN KATE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:KATE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 BOARDWALK ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-7823
Mailing Address - Country:US
Mailing Address - Phone:715-210-0743
Mailing Address - Fax:
Practice Address - Street 1:606 GREEN MEADOW DR
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1512
Practice Address - Country:US
Practice Address - Phone:608-848-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI310705-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse