Healthcare Provider Details

I. General information

NPI: 1265481691
Provider Name (Legal Business Name): SUSAN KLEIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 07/29/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36901 AMERICAN WAY
AVON OH
44011-4057
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 440-930-6200
  • Fax:
Mailing address:
  • Phone: 216-227-2500
  • Fax: 216-227-2567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN196852
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: