1215178405 NPI number — MRS. KRISTINA MURRIE LOSAPIO ARNP

Table of content: MRS. KRISTINA MURRIE LOSAPIO ARNP (NPI 1215178405)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215178405 NPI number — MRS. KRISTINA MURRIE LOSAPIO ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOSAPIO
Provider First Name:
KRISTINA
Provider Middle Name:
MURRIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SIMONSON
Provider Other First Name:
KRISTINA
Provider Other Middle Name:
MURRIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ARNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1215178405
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13000 US HIGHWAY 1
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
SEBASTIAN
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32958-3773
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
772-581-5881
Provider Business Mailing Address Fax Number:
772-581-5883

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13000 US HIGHWAY 1
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
SEBASTIAN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32958-3773
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-581-5881
Provider Business Practice Location Address Fax Number:
772-581-5883
Provider Enumeration Date:
03/17/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  ARNP2858932 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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