Individual provider · Type 1 NPI
Mary Kay Klockmann, NP
Nurse Practitioner · Brawley, CA
Practice location
608 G Street, Brawley
Brawley, CA 92227-2567
Fax (760) 545-0247
Mailing address
516 W Aten Rd, Imperial
Imperial, CA 92251-9805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 9766NP (CA) |
| Family Health Clinical Nurse Specialist | 364SF0001X | 402384RN (CA) |
| Nurse Practitioner Primary | 363L00000X | RN402384 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1003840174
Mary Kay Klockmann, NP's National Provider Identifier is 1003840174, issued on Jul 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brawley, CA. The record was last updated on May 8, 2020.