Provider Demographics
NPI:1952338931
Name:KLEIN, AMI LOUISE (APRN BC)
Entity Type:Individual
Prefix:
First Name:AMI
Middle Name:LOUISE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:APRN BC
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Other - Credentials:
Mailing Address - Street 1:PO BOX 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7210
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:1414 W FAIR AVE
Practice Address - Street 2:SUITE 334
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-2675
Practice Address - Country:US
Practice Address - Phone:906-225-3870
Practice Address - Fax:906-225-4861
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2022-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704180044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5008754800OtherBLUE CROSS BLUE SHIELD
MIP38340162OtherMI MEDICARE
2005005399OtherAMERICAN NURSESCREDENTIALING CENTER