Klisan, Stephanie A

Klisan, Stephanie A is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-0001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Klisan, Stephanie A can be contacted via phone (216) 286-7015.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195-0001
Phone: (216) 286-7015
Fax: (216) 286-7015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN.348005 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN.CNP.021582 Ohio

Profile Details

NPI number 1851818538
LBN Legal business name Klisan, Stephanie A
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Aug 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851818538 NPPES
Ohio Other RN.348005 RN LICENSE NUMBER
Ohio Other APRN.CNP.021582 RN LICENSE NUMBER

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