Provider Demographics
NPI:1114361151
Name:LAPINE, ROSAULA NYMPHADACUMOS (NP)
Entity Type:Individual
Prefix:
First Name:ROSAULA
Middle Name:NYMPHADACUMOS
Last Name:LAPINE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ROSAULA NYMPHA
Other - Middle Name:CARIASO
Other - Last Name:DACUMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:521 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-3649
Mailing Address - Country:US
Mailing Address - Phone:406-395-4305
Mailing Address - Fax:406-395-5643
Practice Address - Street 1:521 4TH ST
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3649
Practice Address - Country:US
Practice Address - Phone:406-395-4305
Practice Address - Fax:406-395-5643
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN134751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily