Healthcare Provider Details

I. General information

NPI: 1376832683
Provider Name (Legal Business Name): ANTHONY M YANARELLA CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 06/23/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 E MARSHALL ST NRW 141
WEST CHESTER PA
19380-4412
US

IV. Provider business mailing address

715 E MARSHALL ST NRW 141
WEST CHESTER PA
19380-4412
US

V. Phone/Fax

Practice location:
  • Phone: 610-431-5472
  • Fax:
Mailing address:
  • Phone: 610-431-5472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN563713
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: