Provider Demographics
NPI:1669465829
Name:RAPSILBER, LYNN M (APRN BC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:RAPSILBER
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1083
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-1083
Mailing Address - Country:US
Mailing Address - Phone:860-309-2243
Mailing Address - Fax:
Practice Address - Street 1:253 FAIRLAWN DR
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-5809
Practice Address - Country:US
Practice Address - Phone:860-309-2243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2052363LA2200X
CTCT02052363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004217239Medicaid
CT004217239Medicaid
CTD400166431Medicare PIN