| Doctor Name: | PEARL KLOAC |
| NPI Number: | 1427143593 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 4704119567 |
| Business Practice Address: | Us Highway 160 & Navaho Route 35-red Mesa Teec Nos Pos, AZ - 86514 |
| Business Phone Number: | 9286565487 |
| Business Fax Number: | 9286565164 |
| Mailing Address: | Hc 61 Box 30, TEEC NOS POS |
| State: | AZ |
| Postal Code: | 86514 |
| Phone Number: | 9286565487 |
| Fax Number: | 9286565164 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704119567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |