Provider Demographics
NPI:1548445729
Name:LASPESA, LINDA LOUISE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LOUISE
Last Name:LASPESA
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 1:6909 MLK ST . SOUTH
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-6283
Mailing Address - Country:US
Mailing Address - Phone:727-864-7310
Mailing Address - Fax:727-864-7319
Practice Address - Street 1:6909 MLK ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-6283
Practice Address - Country:US
Practice Address - Phone:727-864-7310
Practice Address - Fax:727-864-7319
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1156882363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology