CAROLYN J KLOTZ APNP NPI 1871728253

NPI Information

NPI: 1871728253
Provider Name: CAROLYN J KLOTZ, APNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: MEQUON CLINICAL ASSOCIATES, SC

PECOS Registration: Yes

Address:
13255 W BLUEMOUND RD
SUITE 103
BROOKFIELD, WI
ZIP 53005
Phone: (262) 796-0600
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Carolyn J Klotz, APNP is an adult health nurse practitioner in Brookfield, WI with 7 years of experience. Carolyn J Klotz, APNP NPI is 1871728253. 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:

13255 W BLUEMOUND RD
SUITE 103
BROOKFIELD, WI
ZIP 53005-245
Phone: (262) 796-0600
Fax: (262) 796-0700

The NPI 1871728253 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 5/28/2009 and was last updated on 3/17/2018.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4675-33	WISCONSIN	No
2	363LA2200X	Nurse Practitioner	Adult Health	4675-33	WISCONSIN	Yes

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

NPI Synchronization or Removal

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