MRS. THERESA INTILLI KLAUSNER MS APRN BC FNP NPI 1265587117

NPI Information

NPI: 1265587117
Provider Name: MRS. THERESA INTILLI KLAUSNER, MS, APRN, BC, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4104 STATE HIGHWAY 30
AMSTERDAM, NY
ZIP 12010
Phone: (518) 883-8620
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MRS. Theresa Intilli Klausner, MS, APRN, BC, FNP is a family nurse practitioner in Amsterdam, NY with 23 years of experience. MRS. Theresa Intilli Klausner, MS, APRN, BC, FNP NPI is 1265587117. 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:

4104 STATE HIGHWAY 30
AMSTERDAM, NY
ZIP 12010-202
Phone: (518) 883-8620
Fax: (518) 883-5653

The NPI 1265587117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/19/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F333567-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RA7650	MEDICARE PIN	NEW YORK
2	Q49760	MEDICARE UPIN	NEW YORK
3	F333567-1	OTHER	NEW YORK	STATE LICENSE NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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