Healthcare Provider Details

I. General information

NPI: 1407399306
Provider Name (Legal Business Name): STEPHANIE KLEIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2016
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 HOSPITAL DR FL 4
ASHEVILLE NC
28801-4550
US

IV. Provider business mailing address

50 SCHENCK PKWY
ASHEVILLE NC
28803-3499
US

V. Phone/Fax

Practice location:
  • Phone: 828-253-4262
  • Fax: 828-418-0932
Mailing address:
  • Phone: 828-651-6590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5009090
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: