Provider Demographics
NPI:1972619021
Name:LAPINSKAITE-MATULIS, ASTA (ARNP)
Entity type:Individual
Prefix:
First Name:ASTA
Middle Name:
Last Name:LAPINSKAITE-MATULIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30733 USF HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33620-9951
Mailing Address - Country:US
Mailing Address - Phone:813-966-0630
Mailing Address - Fax:813-254-3041
Practice Address - Street 1:30733 USF HOLLY DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33620-9951
Practice Address - Country:US
Practice Address - Phone:813-966-0630
Practice Address - Fax:813-254-3041
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3290492363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY034DOtherBCBS
FL305811500Medicaid
P00196069OtherRAILROAD MEDICARE
FLE8934Medicare ID - Type Unspecified
FL305811500Medicaid