Provider Demographics
NPI:1861546657
Name:PISAPIA, MICHELLE RIOUX (RN, MS, NP)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:RIOUX
Last Name:PISAPIA
Suffix:
Gender:F
Credentials:RN, MS, NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:29 GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-1783
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:MGH PAPPAS CENTER, YAWKEY 9E
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-8770
Practice Address - Fax:617-724-8769
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA261496363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health