Provider Demographics
NPI:1073590659
Name:KAPLAN, LOUISE (PHD, CRNP)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:PHD, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 DENNIS ST SW
Mailing Address - Street 2:STE A
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-5459
Mailing Address - Country:US
Mailing Address - Phone:301-869-9776
Mailing Address - Fax:
Practice Address - Street 1:150 DENNIS ST SW STE A
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-5486
Practice Address - Country:US
Practice Address - Phone:360-754-6367
Practice Address - Fax:360-754-6429
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000705363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner