Individual
CHERYL JAN KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
612 W BASELINE RD, MESA, AZ 85210-6041
(480) 834-9039
(480) 964-7802
Mailing address
612 W BASELINE RD, MESA, AZ 85210-6041
(480) 834-9039
(480) 964-7802
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2453
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156589
—
AZ
Enumeration date
09/20/2006
Last updated
09/18/2014
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