Healthcare Provider Details

I. General information

NPI: 1275899346
Provider Name (Legal Business Name): REBECCA KAPLAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2012
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CONNECTICUT AVE NORWALK COMMUNITY HEALTH CENTER
NORWALK CT
06854-1525
US

IV. Provider business mailing address

7 HIGHBROOK ROAD
NORWALK CT
06851
US

V. Phone/Fax

Practice location:
  • Phone: 203-899-1770
  • Fax:
Mailing address:
  • Phone: 203-554-4657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number004962
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: