Provider Demographics
NPI:1134799232
Name:KAPLAN, RACHEL HARRIS (RN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:HARRIS
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:JORDAN
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:19912 TIVOLI CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5616
Mailing Address - Country:US
Mailing Address - Phone:786-877-5693
Mailing Address - Fax:
Practice Address - Street 1:19912 TIVOLI CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-5616
Practice Address - Country:US
Practice Address - Phone:786-877-5693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183372367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered