Provider Demographics
NPI:1659619518
Name:KLOTZ, ALISON PATRICIA (CRNA)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:PATRICIA
Last Name:KLOTZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:RENUART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:216-444-9247
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-6551
Practice Address - Fax:216-444-9247
Is Sole Proprietor?:No
Enumeration Date:2013-01-27
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH91684367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered