Provider Demographics
NPI:1093295420
Name:KAPLAN, TARRAH (NP)
Entity Type:Individual
Prefix:
First Name:TARRAH
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TARRAH
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 BEAVER AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-4126
Mailing Address - Country:US
Mailing Address - Phone:248-444-6687
Mailing Address - Fax:
Practice Address - Street 1:3577 W 13 MILE RD # 204
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6710
Practice Address - Country:US
Practice Address - Phone:248-551-2446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704290196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily