Provider Demographics
NPI:1588936421
Name:KLEIN, WHITNEY LEDA (CNP)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:LEDA
Last Name:KLEIN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:LEDA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:CENTRAL CREDENTIALING
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-5502
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-584-7372
Practice Address - Fax:513-584-2605
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.13151-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily