Provider Demographics
NPI:1255180733
Name:KAPAJ, IRIS (FNP)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:KAPAJ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 STATE ROAD 580
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3343
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:631-983-4465
Practice Address - Street 1:2719 STATE ROAD 580
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3343
Practice Address - Country:US
Practice Address - Phone:727-240-1763
Practice Address - Fax:631-983-4465
Is Sole Proprietor?:No
Enumeration Date:2024-05-16
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF05240466363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily