PAUL ELWOOD KLAVERWEIDEN JR. (NPI# 1760984454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760984454 |
Entity Type | Individual |
Full Name | PAUL ELWOOD KLAVERWEIDEN JR. |
Credential | CRNP-PMH |
Practice Address |
104c Williamsport Cir Salisbury MD 21804-6400 |
Mailing Address |
806 Gettysburg Ave Salisbury MD 21804-6530 |
Practice Telephone | 4108313899 |
Mailing Telephone | 4108456831 |
Enumeration Date | 2018-03-08 |
Last Update Date | 2020-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R173574 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
104C WILLIAMSPORT CIR |
City | SALISBURY |
State | MD |
Zip Code | 21804-6400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
Find all providers in zip 21804 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134785041 | Universality Health Care | Nurse Practitioner | 213 W Main St Ste 105, Salisbury, MD 21801-4872 | 2019-05-15 |
1992287411 | Inspiration Health Services, LLC | Nurse Practitioner | 806 Gettysburg Ave, Salisbury, MD 21804-6530 | 2018-08-31 |
1861851602 | Emelda Fri Njei | Nurse Practitioner | 1813 Sweetbay Dr Ste 7, Salisbury, MD 21804 | 2016-02-22 |
1538440862 | Jill Anne Burgholzer | Nurse Practitioner | 1113 Healthway Dr., Salisbury, MD 21804 | 2011-08-31 |
1356552608 | Debra Mary Brinkman | Nurse Practitioner | 38 Lafayette Rd, Salisbury, MA 01952-1903 | 2007-05-25 |
1124648936 | Lauren Renee Gettier | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5493 | 2020-04-22 |
1104454701 | Whitney Bradshaw | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-03-30 |
1134756794 | Oluwadara Osinubi | Nurse Practitioner | 431 E Main St, Salisbury, MD 21804-5018 | 2020-03-24 |
1437796901 | Justina Kenna Ugorji | Nurse Practitioner | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-12-04 |
1285296384 | Jane Ngozi Iwebo | Nurse Practitioner | 560 Riverside Dr Ste A204, Salisbury, MD 21801-4704 | 2019-06-28 |
Find all providers in SALISBURY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.