Healthcare Provider Details

I. General information

NPI: 1457611774
Provider Name (Legal Business Name): MILCA ADHIAMBO KAPLAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 SANTIAGO RD STE 2
COLUMBIA MD
21045-3960
US

IV. Provider business mailing address

2 UNIVERSITY PLZ STE 204
HACKENSACK NJ
07601-6211
US

V. Phone/Fax

Practice location:
  • Phone: 301-741-9852
  • Fax:
Mailing address:
  • Phone: 551-295-8223
  • Fax: 202-350-9466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberR162363
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR162363
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: