Provider Demographics
NPI:1598540742
Name:KLEIN, ELIZABETH MARIE (RN IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:MARIE
Other - Last Name:MEINSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2928 OLDE FALLS RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-9665
Mailing Address - Country:US
Mailing Address - Phone:740-624-2252
Mailing Address - Fax:
Practice Address - Street 1:47 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-3409
Practice Address - Country:US
Practice Address - Phone:740-720-0275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
OHRN.320163163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No374J00000XNursing Service Related ProvidersDoula