Provider Demographics
NPI:1164688362
Name:KLEINER, CHRISTA LEE (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:LEE
Last Name:KLEINER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:LEE
Other - Last Name:KAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1509 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3540
Mailing Address - Country:US
Mailing Address - Phone:425-297-5783
Mailing Address - Fax:206-259-5830
Practice Address - Street 1:1509 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3540
Practice Address - Country:US
Practice Address - Phone:425-297-5783
Practice Address - Fax:425-259-5830
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 30007802363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics