Provider Demographics
NPI:1548349913
Name:RAPOSO, ISABEL MARIA (CNP)
Entity type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:MARIA
Last Name:RAPOSO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29643 FERNHILL DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2025
Mailing Address - Country:US
Mailing Address - Phone:248-855-4231
Mailing Address - Fax:
Practice Address - Street 1:14700 KING RD STE C
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-7909
Practice Address - Country:US
Practice Address - Phone:734-479-2100
Practice Address - Fax:734-479-2199
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMI4704130940363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP86843Medicare UPIN