Provider Demographics
NPI:1376066605
Name:KLEIN, CARA CHRISTINE (DNP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:CHRISTINE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:CHRISTINE
Other - Last Name:PINGATORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1969 E CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49002-4488
Mailing Address - Country:US
Mailing Address - Phone:906-440-4154
Mailing Address - Fax:
Practice Address - Street 1:605 W CHICAGO RD
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-8400
Practice Address - Country:US
Practice Address - Phone:517-924-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704276170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily