Provider Demographics
NPI:1437039823
Name:CLEVENGER, KLARA (DNP-FNP)
Entity type:Individual
Prefix:DR
First Name:KLARA
Middle Name:
Last Name:CLEVENGER
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:683 WOODGLEN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN GARDNER
Mailing Address - State:NJ
Mailing Address - Zip Code:08826-3006
Mailing Address - Country:US
Mailing Address - Phone:908-914-2746
Mailing Address - Fax:
Practice Address - Street 1:683 WOODGLEN RD
Practice Address - Street 2:
Practice Address - City:GLEN GARDNER
Practice Address - State:NJ
Practice Address - Zip Code:08826-3006
Practice Address - Country:US
Practice Address - Phone:908-914-2746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15398400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty