Healthcare Provider Details

I. General information

NPI: 1497396899
Provider Name (Legal Business Name): NAZENEEM SARAH KLEIMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2019
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511A W TIDWELL RD
HOUSTON TX
77091-4338
US

IV. Provider business mailing address

8101 SW NYBERG ST STE 106
TUALATIN OR
97062-9464
US

V. Phone/Fax

Practice location:
  • Phone: 713-694-9709
  • Fax: 281-618-8761
Mailing address:
  • Phone: 503-427-0588
  • Fax: 833-973-5824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP143013
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202003518NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: