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MARY KAY KLOCKMANN NP NPI 1003840174


NPI Information

NPI: 1003840174
Provider Name: MARY KAY KLOCKMANN, NP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Address:
608 G STREET
BRAWLEY
BRAWLEY, CA
ZIP 92227
Phone: (760) 351-1011
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Mary Kay Klockmann, NP is a nurse practitioner in Brawley, CA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Mary Kay Klockmann, NP NPI is 1003840174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

608 G STREET
BRAWLEY
BRAWLEY, CA
ZIP 92227-567
Phone: (760) 351-1011
Fax: (760) 545-0247

The enumeration date for this NPI number is 7/11/2006 and was last updated on 5/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerRN402384CALIFORNIAYes
2364SF0001XClinical Nurse SpecialistFamily Health402384RNCALIFORNIANo
3364SF0001XClinical Nurse SpecialistFamily Health9766NPCALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.