Provider Demographics
NPI:1801250279
Name:CAPLAN, SUSAN (NP)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:CAPLAN
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 1:55 LANDING WOODS
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6523
Mailing Address - Country:US
Mailing Address - Phone:207-847-3400
Mailing Address - Fax:
Practice Address - Street 1:55 LANDING WOODS
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6523
Practice Address - Country:US
Practice Address - Phone:207-847-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN57101163WC1500X
NY464954-1163WC1500X
NYF331708-1363LF0000X
MECNP101056363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily