Provider Demographics
NPI:1225409782
Name:KLEIMOLA, PAULA DIANNE (RN)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:DIANNE
Last Name:KLEIMOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2770 CARPENTER RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-4104
Mailing Address - Country:US
Mailing Address - Phone:734-971-6300
Mailing Address - Fax:734-971-1026
Practice Address - Street 1:2770 CARPENTER RD
Practice Address - Street 2:SUITE 220
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-4104
Practice Address - Country:US
Practice Address - Phone:734-971-6300
Practice Address - Fax:734-971-1026
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704117188163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health