Healthcare Provider Details

I. General information

NPI: 1023610243
Provider Name (Legal Business Name): AMBER KLEIN APN-A CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HADDON AVE
CAMDEN NJ
08103-3101
US

IV. Provider business mailing address

530 GERRITT ST
PHILADELPHIA PA
19147-5821
US

V. Phone/Fax

Practice location:
  • Phone: 856-757-3500
  • Fax:
Mailing address:
  • Phone: 517-331-0758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number134233
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NJ01078800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: