Individual provider · Type 1 NPI
Michael Desantis, CRNP
Family Nurse Practitioner · Girard, PA
NPI number
1023593159
Active
Practice location
1135 Lake St
Girard, PA 16417-1049
Fax (814) 456-2375
Mailing address
1202 State St
Erie, PA 16501-1914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP019328 (PA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Girard
About NPI 1023593159
Michael Desantis, CRNP's National Provider Identifier is 1023593159, issued on Sep 25, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Girard, PA. The record was last updated on Jul 14, 2025.