Provider Demographics
NPI:1194309088
Name:KLEITGEN, HEATHER ELIZABETH (BSN RN CDCES)
Entity type:Individual
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First Name:HEATHER
Middle Name:ELIZABETH
Last Name:KLEITGEN
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Gender:F
Credentials:BSN RN CDCES
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Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:6 WELLNESS WAY STE 114
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2156
Practice Address - Country:US
Practice Address - Phone:518-785-5881
Practice Address - Fax:518-785-3872
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2024-02-19
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Provider Licenses
StateLicense IDTaxonomies
NY611639-01163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator