Provider Demographics
NPI:1235949165
Name:KLEMANN, AMBER (RN, BSN)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:KLEMANN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 EDUCATION DR # 1
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-4066
Mailing Address - Country:US
Mailing Address - Phone:845-838-6900
Mailing Address - Fax:
Practice Address - Street 1:101 MATTEAWAN RD
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1571
Practice Address - Country:US
Practice Address - Phone:845-838-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY714798-01163WP0200X, 163WS0200X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WS0200XNursing Service ProvidersRegistered NurseSchool