Individual provider · Type 1 NPI
Andrea Jeanne Klock, FNP-C
Family Nurse Practitioner · Phoenix, AZ
NPI number
1629575246
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Fax (602) 263-1619
Mailing address
PO Box 95460
Cleveland, OH 44101-0033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP11361 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | AP11361 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629575246
Andrea Jeanne Klock, FNP-C's National Provider Identifier is 1629575246, issued on Apr 10, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 4, 2024.