Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 2003024502 | MO |
N | 363L00000X | Nurse Practitioner | 209009858 | IL |
N | 363L00000X | Nurse Practitioner | 59720 | NM |
N | 363L00000X | Nurse Practitioner | RN296386 | GA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | NUR-APRN-LIC-167921 | MT |
NPI | 1396903506 |
---|---|
Provider Name | Fiona Ann Kluser Aronberg |
First Address | Maryland Heights, MO 63043-2140 |
Second Address | Albuquerque, NM 87106-2719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2008 |
Last Update Date | 14/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1396903506 | (05) | MO |