Provider Demographics
NPI:1508230475
Name:WEINBERG KLINER, ANNA G (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:G
Last Name:WEINBERG KLINER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2925
Mailing Address - Country:US
Mailing Address - Phone:800-323-8622
Mailing Address - Fax:224-225-0364
Practice Address - Street 1:1825 WILLOW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-2925
Practice Address - Country:US
Practice Address - Phone:800-323-8622
Practice Address - Fax:224-225-0364
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013261363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily