Individual provider · Type 1 NPI
Nicole Elizabeth Klunk, CPNP
Pediatric Nurse Practitioner · Surprise, AZ
NPI number
1366042988
Active
Practice location
14823 W Bell Rd Ste 208
Surprise, AZ 85374-7613
Mailing address
21751 N 86th Ln
Peoria, AZ 85382-2497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN211157 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 271552 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Surprise
About NPI 1366042988
Nicole Elizabeth Klunk, CPNP's National Provider Identifier is 1366042988, issued on Nov 1, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Surprise, AZ. The record was last updated on Sep 15, 2022.