Klunk, Nicole Elizabeth
Klunk, Nicole Elizabeth is an individual health care provider with primary practice located at 14823 W Bell Rd Ste 208 , Surprise AZ 85374-7613. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Klunk, Nicole Elizabeth can be contacted via phone (623) 225-7030.Contact Information
Primary practice address
14823 W Bell Rd Ste 208
Surprise AZ 85374-7613
Phone: (623) 225-7030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN211157 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 271552 | Arizona |
Profile Details
| NPI number | 1366042988 |
|---|---|
| LBN Legal business name | Klunk, Nicole Elizabeth |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2020 |
| Last updated | Sep 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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