Healthcare Provider Details

I. General information

NPI: 1194636506
Provider Name (Legal Business Name): ALEJANDRA KLAWITTER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 CHADWICK DR
NEWBURGH IN
47630-7517
US

IV. Provider business mailing address

11663 E 475N
DUBOIS IN
47527-9664
US

V. Phone/Fax

Practice location:
  • Phone: 312-622-8161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018669A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: