Healthcare Provider Details

I. General information

NPI: 1205173440
Provider Name (Legal Business Name): LASTASCIA COLEMAN ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2013
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 4TH ST
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2566
  • Fax:
Mailing address:
  • Phone: 319-353-6471
  • Fax: 319-356-3901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW236630
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberB119906
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: