IndividualActive
Anthony Fisun, CRNP
NPI 1306223813 · Gerontology Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1306223813
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- License
- SP014633 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2008 President St
Philadelphia, PA 19115-2607
Phone: (215) 200-0420
Approximate (ZIP-level) locationGet directions
Mailing address
2008 President St
Philadelphia, PA 19115-2607
Registry dates
- Enumerated
- 2015-05-04
- Last updated
- 2015-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.