MEDICARE: ANGELIQUE KLEER MSN, APRN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2315349	MA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN2315349	MA

General Provider Information

NPI Number	:	1992482848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIQUE KLEER MSN, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	1775 MASSACHUSETTS AVE STE 3
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-5322
Country	:	US
Telephone Number	:	508-203-1581
Fax Number	:	617-802-9766

Provider Business Practice Location Address
First Line	:	1775 MASSACHUSETTS AVE STE 3
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-5322
Country	:	US
Telephone Number	:	508-203-1581
Fax Number	:	617-802-9766

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	01/13/2026

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