Doctor Name: | MRS. NANCY LOU KLINE |
NPI Number: | 1013942465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP/APRN |
License Number: | 000755 |
Business Practice Address: | 133 Scovill Street-waterbury Va Community Based Clinic #203 Waterbury, CT - 06706 |
Business Phone Number: | 2034655292 |
Business Fax Number: | 2034655296 |
Mailing Address: | 14 Woodside Drive, WOODBRIDGE |
State: | CT |
Postal Code: | 06525 |
Phone Number: | 2033973535 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 000755 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |