Healthcare Provider Details

I. General information

NPI: 1952106213
Provider Name (Legal Business Name): ANTHONY EDIE PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W NORTH ST
NEW CASTLE PA
16101-3906
US

IV. Provider business mailing address

130 W NORTH ST
NEW CASTLE PA
16101-3906
US

V. Phone/Fax

Practice location:
  • Phone: 330-550-9541
  • Fax:
Mailing address:
  • Phone: 330-550-9541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2024089485
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP032660
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: