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MR. ANTHONY YAROSLAV FISUN CRNP NPI 1306223813


NPI Information

NPI: 1306223813
Provider Name: MR. ANTHONY YAROSLAV FISUN, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2008 PRESIDENT ST
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 200-0420
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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 NPI 1306223813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.