Basic Information
Provider Information
NPI: 1154093953
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAPAZZINI
FirstName: MELINA
MiddleName: NOELLE
NamePrefix:  
NameSuffix:  
Credential: CNM, WHNP, RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16490 FERRIS AVE
Address2:  
City: LOS GATOS
State: CA
PostalCode: 950325612
CountryCode: US
TelephoneNumber: 4083487335
FaxNumber:  
Practice Location
Address1: 815 POLLARD RD
Address2:  
City: LOS GATOS
State: CA
PostalCode: 950321438
CountryCode: US
TelephoneNumber: 4083786131
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/30/2021
LastUpdateDate: 09/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X95138030CAN Nursing Service ProvidersRegistered Nurse 
363LW0102X95018498CAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
367A00000X236207CAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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