Audrey Catherine Klecka, FNP-C
Nurse Practitioner, Family in Suffolk, VA. Individual provider (NPI-1).
NPI number1649099862
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1649099862
- Entity type
- Individual (NPI-1)
- Name
- Audrey Catherine Klecka
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2024
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024191406 | VA | Yes |
Practice location
1005 Commercial Ln Ste 220Suffolk, VA 23434-8149
Phone 757-668-2600
Mailing address
4012 Birchwood AveChesapeake, VA 23321-5302
Phone 757-928-5082
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