Provider Demographics
NPI:1306041157
Name:KLEIN, ANN (RN NP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:RN NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3972
Mailing Address - Country:US
Mailing Address - Phone:610-330-2630
Mailing Address - Fax:610-330-2632
Practice Address - Street 1:1901 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3972
Practice Address - Country:US
Practice Address - Phone:610-330-2630
Practice Address - Fax:610-330-2632
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN247303L363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner