Provider Demographics
NPI:1629212477
Name:WAYMAN KLEIN, TERRY ANN (RN, CDE)
Entity Type:Individual
Prefix:MS
First Name:TERRY
Middle Name:ANN
Last Name:WAYMAN KLEIN
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:10710 DONNER PASS RD
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-4896
Mailing Address - Country:US
Mailing Address - Phone:530-582-0293
Mailing Address - Fax:530-587-7454
Practice Address - Street 1:10710 DONNER PASS RD
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-4896
Practice Address - Country:US
Practice Address - Phone:530-582-0293
Practice Address - Fax:530-587-7454
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA239425163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator