Healthcare Provider Details

I. General information

NPI: 1902156623
Provider Name (Legal Business Name): AMANDA MARIA RAPOSO PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77R STATE RD
N DARTMOUTH MA
02747-2919
US

IV. Provider business mailing address

77 STATE RD # R
NORTH DARTMOUTH MA
02747-2935
US

V. Phone/Fax

Practice location:
  • Phone: 774-202-6963
  • Fax: 774-202-2737
Mailing address:
  • Phone: 774-202-6963
  • Fax: 774-202-2737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2278891
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2278891
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: