MEDICARE: NAZENEEM SARAH KLEIMAN

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	363LF0000X	Family Nurse Practitioner	AP143013	TX
2	363LF0000X	Family Nurse Practitioner	202003518NP-PP	OR

General Provider Information

NPI Number	:	1497396899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAZENEEM SARAH KLEIMAN

Provider Business Mailing Address
First Line	:	8101 SW NYBERG ST STE 106
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-9464
Country	:	US
Telephone Number	:	503-427-0588
Fax Number	:	833-973-5824

Provider Business Practice Location Address
First Line	:	511A W TIDWELL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-4338
Country	:	US
Telephone Number	:	713-694-9709
Fax Number	:	281-618-8761

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

Provider Enumeration Date	:	10/07/2019
Last Update Date	:	09/15/2025

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