Provider Demographics
NPI:1417776121
Name:KAPLAN, ANDRIA MARGOLIS (CNP)
Entity type:Individual
Prefix:
First Name:ANDRIA
Middle Name:MARGOLIS
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55803-1981
Mailing Address - Country:US
Mailing Address - Phone:405-823-2349
Mailing Address - Fax:
Practice Address - Street 1:580 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55803-1981
Practice Address - Country:US
Practice Address - Phone:405-823-2349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12134363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty