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NPI Code Detail

MEDICARE: ELIZABETH ANN FUSCO CRNP

MEDICARE: ELIZABETH ANN FUSCO CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerTP005974WPA

General Provider Information

NPI Number : 1275582595
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN FUSCO CRNP
Provider Business Mailing Address
First Line : 114 LITTLE BEAVER DR
Second Line :
City : BEAVER
State : PA
Zip : 15009-1044
Country : US
Telephone Number : 412-759-0756
Fax Number :
Provider Business Practice Location Address
First Line : 1000 DUTCH RIDGE RD
Second Line :
City : BEAVER
State : PA
Zip : 15009-9727
Country : US
Telephone Number : 724-728-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 04/02/2026

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Directions to “ ELIZABETH ANN FUSCO CRNP” Practice Location

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