Healthcare Provider Details

I. General information

NPI: 1356658132
Provider Name (Legal Business Name): RACHEL CAPLAN A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

12 DOCKER DR
WALLINGFORD CT
06492-5200
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-8275
  • Fax:
Mailing address:
  • Phone: 203-843-1439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number004460
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: