ANITA DERVISEVIC FNP NPI 1417441718

NPI Information

NPI: 1417441718
Provider Name: ANITA DERVISEVIC, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3136 ONEIDA ST
SAUQUOIT, NY
ZIP 13456
Phone: (315) 737-3522
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Anita Dervisevic, FNP is a family nurse practitioner in Sauquoit, NY. Anita Dervisevic, FNP NPI is 1417441718. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3136 ONEIDA ST
SAUQUOIT, NY
ZIP 13456-800
Phone: (315) 737-3522

The enumeration date for this NPI number is 6/19/2018 and was last updated on 6/19/2018.

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
1	363LF0000X	Nurse Practitioner	Family	343098	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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