Provider Demographics
NPI:1568903367
Name:KLAUENBERG, KAILEY NOONAN (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KAILEY
Middle Name:NOONAN
Last Name:KLAUENBERG
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 STONEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-6041
Mailing Address - Country:US
Mailing Address - Phone:440-320-7094
Mailing Address - Fax:
Practice Address - Street 1:100 QUALITY ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:VA
Practice Address - Zip Code:22812-1618
Practice Address - Country:US
Practice Address - Phone:540-828-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175947363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily