ANITA DERVISEVIC FNP
NPI 1417441718
Nurse Practitioner - Family in Sauquoit, NY

Active since June 19, 2018
3136 ONEIDA ST, SAUQUOIT, NY 13456(315) 737-3522 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anita Dervisevic Fnp NPPES

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

ANITA DERVISEVIC FNP (NPI 1417441718) is an individual family provider in Sauquoit, New York, licensed in New York (343098) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1417441718
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANITA DERVISEVICCredential: FNP
Location Address3136 ONEIDA STSauquoit, NY 13456-2800
Mailing Address1006 Belmont AveUtica, NY 13501-3210 · (315) 939-0214
Sole ProprietorYes
Enumeration DateJune 19, 2018
NPI 1417441718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 343098
3136 ONEIDA ST, Sauquoit, NY 13456

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3136 ONEIDA ST
SAUQUOIT, NY 13456
Nurse Practitioner (Pediatrics)
3136 ONEIDA ST
SAUQUOIT, NY 13456
Nurse Practitioner (Family)
3136 ONEIDA ST
SAUQUOIT, NY 13456
Pediatrics
3136 ONEIDA ST
SAUQUOIT, NY 13456

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 Anita Dervisevic's NPI number?

The NPI number for Anita Dervisevic is 1417441718. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Anita Dervisevic located?

Anita Dervisevic practices at 3136 Oneida St, Sauquoit, NY 13456. The listed phone number is (315) 737-3522.

What is Anita Dervisevic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Anita Dervisevic was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.