Healthcare Provider Details

I. General information

NPI: 1982643201
Provider Name (Legal Business Name): MARY CATHERINE RAPP NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BINNEY ST
BOSTON MA
02115-6013
US

IV. Provider business mailing address

3 QUAIL RUN RD
BELLINGHAM MA
02019-2928
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-6855
  • Fax:
Mailing address:
  • Phone: 508-883-2581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number154801NP
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: