Provider Demographics
NPI:1316041890
Name:RAPPAPORT, ANNE (MSN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:RAPPAPORT
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:DRAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:5 STARR AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-3115
Mailing Address - Country:US
Mailing Address - Phone:718-420-9343
Mailing Address - Fax:612-659-7101
Practice Address - Street 1:5 STARR AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-3115
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:612-659-7101
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily