Provider Demographics
NPI:1417176173
Name:KLEIER, JO ANN (ARNP)
Entity Type:Individual
Prefix:DR
First Name:JO
Middle Name:ANN
Last Name:KLEIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 NW 70TH TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1118
Mailing Address - Country:US
Mailing Address - Phone:954-583-7718
Mailing Address - Fax:
Practice Address - Street 1:611 NW 70TH TER
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1118
Practice Address - Country:US
Practice Address - Phone:954-583-7718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1370022163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WU0100XNursing Service ProvidersRegistered NurseUrology