MEDICARE: SARA M RAPOSO PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN276086	MA
2	163WC0400X	Case Management Registered Nurse	RN276086	MA

General Provider Information

NPI Number	:	1629513684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA M RAPOSO PMHNP-BC

Provider Business Mailing Address
First Line	:	77R STATE RD
Second Line	:
City	:	DARTMOUTH
State	:	MA
Zip	:	02747-2919
Country	:	US
Telephone Number	:	774-202-6963
Fax Number	:	774-202-2737

Provider Business Practice Location Address
First Line	:	77R STATE RD
Second Line	:
City	:	DARTMOUTH
State	:	MA
Zip	:	02747-2919
Country	:	US
Telephone Number	:	774-202-6963
Fax Number	:	774-202-2737

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

Provider Enumeration Date	:	12/30/2016
Last Update Date	:	03/30/2023

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