Individual provider · Type 1 NPI
Anthony Yaroslav Fisun, CRNP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1306223813
Active
Practice location
2008 President St
Philadelphia, PA 19115-2607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP014633 (PA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP014633 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1306223813
Anthony Yaroslav Fisun, CRNP's National Provider Identifier is 1306223813, issued on May 4, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 9, 2015.