Provider Demographics
NPI:1629513684
Name:RAPOSO, SARA M (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:RAPOSO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77R STATE RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2919
Mailing Address - Country:US
Mailing Address - Phone:774-202-6963
Mailing Address - Fax:774-202-2737
Practice Address - Street 1:77R STATE RD
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2919
Practice Address - Country:US
Practice Address - Phone:774-202-6963
Practice Address - Fax:774-202-2737
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN276086363LP0808X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management