Provider Demographics
NPI:1396715132
Name:KLORER, SUSAN GWEN (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:GWEN
Last Name:KLORER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8190 BARKER CYPRESS RD
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2277
Mailing Address - Country:US
Mailing Address - Phone:281-500-8600
Mailing Address - Fax:281-500-8699
Practice Address - Street 1:8190 BARKER CYPRESS RD
Practice Address - Street 2:SUITE 1500
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2277
Practice Address - Country:US
Practice Address - Phone:281-500-8600
Practice Address - Fax:281-500-8699
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX445687363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4B896CS17Medicare UPIN
LAP39526Medicare UPIN