Provider Demographics
NPI:1962471706
Name:ZAMBITO, ASHLIE NICOLE (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:ASHLIE
Middle Name:NICOLE
Last Name:ZAMBITO
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 1:625 6TH AVE S STE 405
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4665
Mailing Address - Country:US
Mailing Address - Phone:727-498-8994
Mailing Address - Fax:727-498-8982
Practice Address - Street 1:625 6TH AVE S STE 405
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4665
Practice Address - Country:US
Practice Address - Phone:727-498-8994
Practice Address - Fax:727-498-8982
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3299492363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305323700Medicaid