Mrs. Erica Diane Klose
Nurse Practitioner - Neonatal (Critical Care)
200 Hawthorne Ln
Charlotte
, North Carolina 28204-2515
Mrs. Erica Diane Klose
Nurse Practitioner - Neonatal (Critical Care)
200 Hawthorne Ln
Charlotte
, North Carolina 28204-2515
(704) 502-7660
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Mrs. Erica Diane Klose
- 423 Matfield Ct
- Monroe, NC
- Zip : 28110-8123
- Phone : (704) 502-7660
Second Address
- Mrs. Erica Diane Klose
- 200 Hawthorne Ln
- Charlotte, NC
- Zip : 28204-2515
- Phone : (704) 384-4944
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5010808 | NC |
National Provider Identifier
| NPI | 1194203620 |
|---|---|
| Provider Name | Mrs. Erica Diane Klose |
| First Address | Monroe, NC 28110-8123 |
| Second Address | Charlotte, NC 28204-2515 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2018 |
| Last Update Date | 06/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.