Provider Demographics
NPI:1083822159
Name:KAPLAN, SHELLEY JOY (RN, CPNP, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:SHELLEY
Middle Name:JOY
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:RN, CPNP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15099 N RUGGED LARK DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-8305
Mailing Address - Country:US
Mailing Address - Phone:520-591-0875
Mailing Address - Fax:
Practice Address - Street 1:15099 N RUGGED LARK DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-8305
Practice Address - Country:US
Practice Address - Phone:520-591-0875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN130045163WL0100X
AZAP2035363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics