Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | COA 17861-NP | OH |
NPI | 1003282948 |
---|---|
Provider Name | Paige Kaple |
First Address | Gahanna, OH 43230-1760 |
Second Address | Columbus, OH 43213-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2015 |
Last Update Date | 14/08/2015 |