Eleanor Christine Klein, FNP

Individual provider Active NPI Family Nurse Practitioner · Cincinnatus, NY

NPI 1043216906 · NPPES record last updated Dec 18, 2017

Key facts

NPI
1043216906
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
F330945-1 (NY)
Practice address
2805 Cincinnatus Rd
Cincinnatus, NY 13040-9669
Phone
(607) 863-4126
Fax
(607) 863-3455
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5277205NYMDRegistered Nurse
F330945-1NYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 5277205 NY
Family Nurse Practitioner 363LF0000X F330945-1 NY Yes

Addresses

Primary practice location

2805 Cincinnatus Rd
Cincinnatus, NY 13040-9669

Mailing address

85 South West Street
Homer, NY 13077
Phone (607) 753-3797

Other names

  • E Christine Klein Other name

Other providers in Cincinnatus, NY

All providers in Cincinnatus, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.