Provider Demographics
NPI:1760593859
Name:RAPCIEWICZ, DEBRA CHRISTINE (MSN, RN, APN,C)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:CHRISTINE
Last Name:RAPCIEWICZ
Suffix:
Gender:F
Credentials:MSN, RN, APN,C
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:CHRISTINE
Other - Last Name:KRUPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, APN, C
Mailing Address - Street 1:920 2ND AVE S
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-3318
Mailing Address - Country:US
Mailing Address - Phone:612-659-7111
Mailing Address - Fax:612-225-1591
Practice Address - Street 1:920 2ND AVE S
Practice Address - Street 2:SUITE 400
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-3318
Practice Address - Country:US
Practice Address - Phone:612-659-7111
Practice Address - Fax:612-225-1591
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN10523500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ122974XVAMedicare UPIN