Individual
AUDREY CATHERINE KLECKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1005 COMMERCIAL LN STE 220, SUFFOLK, VA 23434-8149
(757) 668-2600
Mailing address
4012 BIRCHWOOD AVE, CHESAPEAKE, VA 23321-5302
(757) 928-5082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024191406
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024191406
VIRGINIA BOARD OF NURSING LICENSE
VA
01
—
F08240389
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
10/04/2024
Last updated
10/09/2024
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