Doctor Name: | LAURA KLOSTERMAN |
NPI Number: | 1376763318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 21159964 |
Business Practice Address: | 284 Essex Pl Pataskala, OH - 430627561 |
Business Phone Number: | 6149758053 |
Business Fax Number: | |
Mailing Address: | 284 Essex Pl, PATASKALA |
State: | OH |
Postal Code: | 430627561 |
Phone Number: | 6149758053 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 02/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0600X |
License Number: | 21159964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |