ANDERSON FONTALIS NPI 1992476410

NPI Information

NPI: 1992476410
Provider Name: ANDERSON FONTALIS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
605 S GEORGE ST STE 100
YORK, PA
ZIP 17401
Phone: (717) 356-5060
Get Directions

Anderson Fontalis is a psychiatric/mental health nurse practitioner in York, PA with 5 years of experience. Anderson Fontalis NPI is 1992476410. 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:

605 S GEORGE ST STE 100
YORK, PA
ZIP 17401-164
Phone: (717) 356-5060
Fax: (717) 356-5061

The NPI 1992476410 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 9/23/2021 and was last updated on 1/13/2023.

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	163W00000X	Registered Nurse		R245785	MARYLAND	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R245785	MARYLAND	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	SP026564	PENNSYLVANIA	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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