MR. ANTHONY YAROSLAV FISUN CRNP
NPI 1306223813
Nurse Practitioner - Gerontology in Philadelphia, PA

Q: What is Anthony Fisun's NPI number?

The NPI number for Anthony Fisun is 1306223813. It was assigned to this individual provider in the NPPES registry on May 4, 2015. The provider is also known as Mr. Yaroslav Anatolevich Fisun Crnp.

Q: What is Anthony Fisun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Fisun was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2015

2008 PRESIDENT ST, PHILADELPHIA, PA 19115(215) 200-0420 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Anthony Yaroslav Fisun Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTHONY YAROSLAV FISUN CRNP (NPI 1306223813) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP014633) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1306223813

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameMR. ANTHONY YAROSLAV FISUNCredential: CRNP

Location Address2008 PRESIDENT STPhiladelphia, PA 19115-2607

Mailing Address2008 President StPhiladelphia, PA 19115-2607 · (215) 200-0420

Phone(215) 200-0420

Sole ProprietorNo

Enumeration DateMay 4, 2015

Last NPPES UpdateDecember 9, 2015

✔ NPI 1306223813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in PA · SP014633

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP014633 (PA)

2008 PRESIDENT ST, Philadelphia, PA 19115

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Other Names 1

Professional Name (2)Mr. Yaroslav Anatolevich Fisun Crnp

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Fisun's NPI number?

The NPI number for Anthony Fisun is 1306223813. It was assigned to this individual provider in the NPPES registry on May 4, 2015. The provider is also known as Mr. Yaroslav Anatolevich Fisun Crnp.

Where is Anthony Fisun located?

Anthony Fisun practices at 2008 President St, Philadelphia, PA 19115. The listed phone number is (215) 200-0420.

What is Anthony Fisun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Anthony Fisun was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.