Healthcare Provider Details

I. General information

NPI: 1659607521
Provider Name (Legal Business Name): ERICA LEIGH KLEINLE C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 PA ROUTE 100 SUITE 100
MACUNGIE PA
18062
US

IV. Provider business mailing address

2550 PA ROUTE 100 SUITE 100
MACUNGIE PA
18062-9600
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP010522
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP010522
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: