Healthcare Provider Details

I. General information

NPI: 1962328286
Provider Name (Legal Business Name): ERIN KLANICA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

2700 WOODLEY RD NW UNIT 520
WASHINGTON DC
20008-4154
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-1339
  • Fax:
Mailing address:
  • Phone: 830-221-6928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN500342081
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: