Provider Demographics
NPI:1821139247
Name:KLAUDER, DENISE D (RN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:D
Last Name:KLAUDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:9501 ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1025
Mailing Address - Country:US
Mailing Address - Phone:215-671-4280
Mailing Address - Fax:215-464-9034
Practice Address - Street 1:9501 ROOSEVELT BLVD
Practice Address - Street 2:SUITE 501
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1025
Practice Address - Country:US
Practice Address - Phone:215-673-5000
Practice Address - Fax:215-673-0718
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN308988L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse