Provider Demographics
NPI:1063436038
Name:KAPLAN, NANCY G (PT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:G
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CRYSTAL FIELD CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1564
Mailing Address - Country:US
Mailing Address - Phone:410-602-1650
Mailing Address - Fax:
Practice Address - Street 1:9 CRYSTAL FIELD CT
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-1564
Practice Address - Country:US
Practice Address - Phone:410-602-1650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14361174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD773506500Medicaid
MD883LA980Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
MD773506500Medicaid