Provider Demographics
NPI:1275633471
Name:EPPLER, KATHERINE G (ARNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:G
Last Name:EPPLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:BAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:8177 GLADES RD
Mailing Address - Street 2:BAY 25
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4071
Mailing Address - Country:US
Mailing Address - Phone:561-939-1340
Mailing Address - Fax:561-939-1344
Practice Address - Street 1:8177 GLADES RD
Practice Address - Street 2:BAY 25
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4071
Practice Address - Country:US
Practice Address - Phone:561-939-1340
Practice Address - Fax:561-939-1344
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9261956363L00000X
FLARNP9261956363LW0102X
MDR080008363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P54133Medicare UPIN