MEDICARE: COURTNEY ANNA KLAIR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364S00000X	Clinical Nurse Specialist	625	MN

General Provider Information

NPI Number	:	1437004637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY ANNA KLAIR

Provider Business Mailing Address
First Line	:	4050 COON RAPIDS BLVD NW
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55433-2586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 COON RAPIDS BLVD NW
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55433-2586
Country	:	US
Telephone Number	:	763-567-1218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ COURTNEY ANNA KLAIR ” Practice Location

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