MRS. ALICIA M. KLECZKOWSKI (NPI# 1366795767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366795767 |
| Entity Type | Individual |
| Full Name | MRS. ALICIA M. KLECZKOWSKI |
| Credential | A.P.R.N. |
| Practice Address |
57 Webster St. Manchester NH 03104 |
| Practice Telephone | 6036686489 |
| Practice Fax Number | 9789579017 |
| Mailing Telephone | 6036686489 |
| Mailing Fax Number | 6036637884 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
277087 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
57 WEBSTER ST. |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| 1588897078 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 79 Bicentennial Drive, Manchester, NH 03104 | 2009-08-31 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| 1497368146 | Sarah Kuzara | Nurse Practitioner | 1069 Big Bend Crossing Dr, Manchester, MO 63088-1296 | 2020-08-24 |
| 1265068910 | Katelyn Denise Walker | Nurse Practitioner | 306 Boone Dr, Manchester, TN 37355-7820 | 2020-03-13 |
| 1780219659 | Ashlynn Fogg | Nurse Practitioner | 1750 Elm St Ste 201a, Manchester, NH 03104-2903 | 2020-03-11 |
| 1922669357 | Heather Rogers Hansen | Nurse Practitioner | 1279 S Willow St Ste E, Manchester, NH 03103-4015 | 2019-06-26 |
| 1619433802 | Samantha Ashley Case | Nurse Practitioner | 635 Clay St Fl 1, Manchester, NH 03103-4507 | 2019-02-13 |
| 1538640420 | Isaac Okyere Ampofo | Nurse Practitioner | 629 Middle Turnpike East, Manchester, CT 06040-3571 | 2018-08-28 |
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1952817371 | Rodrick Emmanuel Thomas | Nurse Practitioner | 553 S Commercial St Apt 309, Manchester, NH 03101-2749 | 2017-12-20 |
| 1063950160 | Kacy Mikala Kirk | Nurse Practitioner | 183 Roberts Creek Cir, Manchester, TN 37355-3690 | 2017-02-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on MRS. ALICIA M. KLECZKOWSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.