Individual
NICOLE A KLONARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-5533
(330) 948-2726
Mailing address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-5533
(330) 948-2726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13318NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074796
—
OH
01
—
1003849910
LODI COMMUNITY CARE CENTER TYPE 2 NPI #
OH
01
—
1801807870
LODI COMUNITY HOSPITAL TYPE 2 NPI #
OH
01
—
2396081
LODI COMMUNITY HOSPITAL MEDICAID GROUP #
OH
01
—
3613031
LODI COMMUNITY HOSPITAL MEDICARE GROUP #
OH
Enumeration date
10/29/2012
Last updated
01/12/2016
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