MEDICARE: LISA RAPPA-MANNION APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	049143-23	NH
2	363LA2200X	Adult Health Nurse Practitioner	049143-23	NH
3	363L00000X	Nurse Practitioner	049143-23	NH
4	363LA2100X	Acute Care Nurse Practitioner	049143-23	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	049143-23	OTHER	NH	NH STATE BOARD OF NURSING

General Provider Information

NPI Number	:	1518519115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA RAPPA-MANNION APRN

Provider Business Mailing Address
First Line	:	101 MCGREGOR ST
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03102
Country	:	US
Telephone Number	:	603-668-3545
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 MEETINGHOUSE RD
Second Line	:
City	:	BEDFORD
State	:	NH
Zip	:	03110-6028
Country	:	US
Telephone Number	:	603-664-4545
Fax Number	:	603-664-4583

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2019
Last Update Date	:	04/24/2026

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