Provider Demographics
NPI:1215178405
Name:LOSAPIO, KRISTINA MURRIE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:MURRIE
Last Name:LOSAPIO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:KRISTINA
Other - Middle Name:MURRIE
Other - Last Name:SIMONSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:13000 US HIGHWAY 1
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3773
Mailing Address - Country:US
Mailing Address - Phone:772-581-5881
Mailing Address - Fax:772-581-5883
Practice Address - Street 1:13000 US HIGHWAY 1
Practice Address - Street 2:SUITE 5
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3773
Practice Address - Country:US
Practice Address - Phone:772-581-5881
Practice Address - Fax:772-581-5883
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2858932363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP15120Medicare UPIN