Healthcare Provider Details

I. General information

NPI: 1477537629
Provider Name (Legal Business Name): BARBARA C KLEIN WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 08/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 S 17TH ST
WILMINGTON NC
28401-6444
US

IV. Provider business mailing address

1202 MEDICAL CENTER DR
WILMINGTON NC
28401-7307
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-1031
  • Fax: 910-341-1050
Mailing address:
  • Phone: 910-341-3300
  • Fax: 910-251-8824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number94-0109
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: