Individual provider · Type 1 NPI

Jan Rapisardo, PNP

Pediatric Nurse Practitioner · Charlotte, NC

NPI number 1063408664 Active

Practice location

517 S Sharon Amity Rd
Charlotte, NC 28211-2975

Fax (704) 384-8819

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X300180 (NC)
Pediatric Nurse Practitioner Primary 363LP0200X300180 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1063408664

Jan Rapisardo, PNP's National Provider Identifier is 1063408664, issued on Sep 20, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charlotte, NC. The record was last updated on Oct 25, 2020.