Provider Demographics
NPI:1871460832
Name:KLAMERT, PATRICIA COLEEN (MS RN BSN)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:COLEEN
Last Name:KLAMERT
Suffix:
Gender:F
Credentials:MS RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9465 N STATE RD
Mailing Address - Street 2:
Mailing Address - City:OTISVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48463-9458
Mailing Address - Country:US
Mailing Address - Phone:810-240-7542
Mailing Address - Fax:810-631-9724
Practice Address - Street 1:9465 N STATE RD
Practice Address - Street 2:
Practice Address - City:OTISVILLE
Practice Address - State:MI
Practice Address - Zip Code:48463-9458
Practice Address - Country:US
Practice Address - Phone:810-240-7542
Practice Address - Fax:810-631-9724
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704138327163WX0106X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health