Provider Demographics
NPI:1720380272
Name:KLIMAS, ANN MARIE CLARE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE CLARE
Last Name:KLIMAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 N SANTA MONICA BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH BAY
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5909
Mailing Address - Country:US
Mailing Address - Phone:262-497-7910
Mailing Address - Fax:
Practice Address - Street 1:4849 N SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:WHITEFISH BAY
Practice Address - State:WI
Practice Address - Zip Code:53217-5909
Practice Address - Country:US
Practice Address - Phone:262-497-7910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI168147-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse