Individual
NIDAVANH KLOPFENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3400
(812) 378-8367
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001564A
IN
363LF0000X
Family Nurse Practitioner
Primary
71001564A
IN
Other
Enumeration date
12/13/2006
Last updated
04/14/2014
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