Healthcare Provider Details

I. General information

NPI: 1780192237
Provider Name (Legal Business Name): RYAN ANASTASI CRNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 W CHESTER PIKE STE 102
WEST CHESTER PA
19382-4877
US

IV. Provider business mailing address

999 W CHESTER PIKE STE 102
WEST CHESTER PA
19382-4877
US

V. Phone/Fax

Practice location:
  • Phone: 484-947-5177
  • Fax: 484-947-5197
Mailing address:
  • Phone: 484-947-5177
  • Fax: 484-947-5197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP018388
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: