Individual provider · Type 1 NPI
Joanna Klose
Family Nurse Practitioner · Baltimore, MD
NPI number
1053197129
Active · reactivated Oct 3, 2023
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
4528 Fait Ave
Baltimore, MD 21224-4405
Other practice locations
- 4528 Fait Ave, Baltimore, MD 21224-4405 · (410) 900-4598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R233296 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053197129
Joanna Klose's National Provider Identifier is 1053197129, issued on Sep 5, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 3, 2023.