Provider Demographics
NPI:1407092414
Name:KAPLAN, MARY ANNE (NP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ANNE
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 CARROLL ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325-1101
Mailing Address - Country:US
Mailing Address - Phone:330-972-7808
Mailing Address - Fax:330-972-8849
Practice Address - Street 1:382 CARROLL ST
Practice Address - Street 2:SUITE 260
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-1101
Practice Address - Country:US
Practice Address - Phone:330-972-7808
Practice Address - Fax:330-972-8849
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN167888363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health