Provider Demographics
NPI:1992482848
Name:KLEER, ANGELIQUE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANGELIQUE
Middle Name:
Last Name:KLEER
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 LEONARD ST STE 8
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2508
Mailing Address - Country:US
Mailing Address - Phone:941-928-5311
Mailing Address - Fax:
Practice Address - Street 1:83 LEONARD ST STE 8
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2508
Practice Address - Country:US
Practice Address - Phone:941-928-5311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2315349163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse