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MEREDITH ROSS KLEIBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1655 WAKE DR, SUITE 101, WAKE FOREST, NC 27587-4745
(919) 556-4779
(919) 556-5277
Mailing address
1655 WAKE DR, SUITE 101, WAKE FOREST, NC 27587-4745
(919) 556-4779
(919) 556-5277

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
194551
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20080225
PNCP CERTIFICATION
NC
05
7004613
NC
05
890115L
NC
Enumeration date
08/07/2008
Last updated
03/10/2017
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