Provider Demographics
NPI:1063962389
Name:RAPOZA, SHARON (RN, BSN, IBCLC, RLC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:RAPOZA
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-5316
Mailing Address - Country:US
Mailing Address - Phone:401-338-2245
Mailing Address - Fax:
Practice Address - Street 1:45 TAFT ST
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-5316
Practice Address - Country:US
Practice Address - Phone:401-338-2245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILLC00003163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant