Healthcare Provider Details
I. General information
NPI: 1013104918
Provider Name (Legal Business Name): AMBER L CAPLAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/25/2007
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
227 E LOUDON AVE
LOUDONVILLE OH
44842-9662
US
IV. Provider business mailing address
2500 CORPORATE EXCHANGE DR SUITE 100
COLUMBUS OH
43231-7665
US
V. Phone/Fax
- Phone: 419-994-5581
- Fax: 419-994-4354
- Phone: 614-794-4500
- Fax: 614-794-4976
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN.312217-COA1 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 096424 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: