Basic Information
Provider Information
NPI: 1639555311
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAPLON
FirstName: SHARON
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: DNP, APNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: W1939 COUNTY ROAD Y
Address2:  
City: CHILTON
State: WI
PostalCode: 530149351
CountryCode: US
TelephoneNumber: 9203784467
FaxNumber:  
Practice Location
Address1: 618 MEMORIAL DR
Address2:  
City: CHILTON
State: WI
PostalCode: 530141568
CountryCode: US
TelephoneNumber: 9208493800
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/05/2015
LastUpdateDate: 08/05/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X6535-33WIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home