Klara Dandrea, RN
Individual provider Active NPI Registered Nurse · Bunnell, FL
NPI 1770325433 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1770325433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN3375702 (FL)
- Practice address
- 301 Dr Carter Blvd
Bunnell, FL 32110-6212 - Phone
- (386) 437-7350
- Fax
- (386) 437-7353
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN3375702 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN3375702 | FL | Yes |
Addresses
Primary practice location
301 Dr Carter Blvd
Bunnell, FL 32110-6212
Mailing address
301 Dr Carter Blvd
Bunnell, FL 32110-6212
Phone (386) 437-7350
Other providers in Bunnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.