MEDICARE: MS. AMANDA MARIA 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	163W00000X	Registered Nurse	RN2278891	MA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN2278891	MA

General Provider Information

NPI Number	:	1902156623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMANDA MARIA RAPOSO PMHNP-BC

Provider Business Mailing Address
First Line	:	77 STATE RD # R
Second Line	:
City	:	NORTH DARTMOUTH
State	:	MA
Zip	:	02747-2935
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	:	N 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	:	09/11/2012
Last Update Date	:	02/05/2026

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