Healthcare Provider Details

I. General information

NPI: 1639730591
Provider Name (Legal Business Name): GABRIELA KLEMAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELA KLEMAN

II. Dates (important events)

Enumeration Date: 06/21/2019
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 COSHOCTON AVE STE H
MOUNT VERNON OH
43050-1975
US

IV. Provider business mailing address

855 COSHOCTON AVE STE H
MOUNT VERNON OH
43050-1975
US

V. Phone/Fax

Practice location:
  • Phone: 740-326-6897
  • Fax:
Mailing address:
  • Phone: 740-326-6552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.024792
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: