MR. ANTHONY YAROSLAV FISUN CRNP NPI 1306223813

NPI Information

  • NPI: 1306223813
  • Provider Name: MR. ANTHONY YAROSLAV FISUN, CRNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 2008 PRESIDENT ST
    PHILADELPHIA, PA
    ZIP 19115
  • Phone: (215) 200-0420

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NPI Details

MR. Anthony Yaroslav Fisun, CRNP is a gerontology nurse practitioner in Philadelphia, PA. MR. Anthony Yaroslav Fisun, CRNP NPI is 1306223813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2008 PRESIDENT ST
PHILADELPHIA, PA
ZIP 19115-607
Phone: (215) 200-0420

The enumeration date for this NPI number is 5/4/2015 and was last updated on 12/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthSP014633PENNSYLVANIANo
2363LG0600XNurse PractitionerGerontologySP014633PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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