Provider Demographics
NPI:1770657629
Name:KAPLAN, DIANE (ARNP, CS)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:ARNP, CS
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:1015 NW 175TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-3809
Mailing Address - Country:US
Mailing Address - Phone:800-553-6754
Mailing Address - Fax:206-546-5547
Practice Address - Street 1:23700 EDMONDS WAY
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8978
Practice Address - Country:US
Practice Address - Phone:800-553-6754
Practice Address - Fax:206-546-5547
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003832364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health