Healthcare Provider Details

I. General information

NPI: 1427385970
Provider Name (Legal Business Name): PATRICIA ANN KLAERS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 11/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5819 N FM 88
WESLACO TX
78596-2275
US

IV. Provider business mailing address

4064 SHADOW LAND DR
RADFORD VA
24141-8212
US

V. Phone/Fax

Practice location:
  • Phone: 956-969-2538
  • Fax:
Mailing address:
  • Phone: 540-633-6513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number0001075463
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0001075463
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: