Individual
MRS. ERICA DIANE KLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4944
Mailing address
423 MATFIELD CT, MONROE, NC 28110-8123
(704) 502-7660
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5010808
NC
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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