Provider Demographics
NPI:1639744337
Name:RAPOLLA, MIA E (FNP-C, APRN, MSN)
Entity Type:Individual
Prefix:
First Name:MIA
Middle Name:E
Last Name:RAPOLLA
Suffix:
Gender:F
Credentials:FNP-C, APRN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 US ROUTE 1 UNIT C7
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1367
Mailing Address - Country:US
Mailing Address - Phone:207-272-2054
Mailing Address - Fax:
Practice Address - Street 1:240 US ROUTE 1 UNIT C7
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1367
Practice Address - Country:US
Practice Address - Phone:207-310-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP211062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily