Fusillo, Nancy M.

Fusillo, Nancy M. is an sole proprietor health care provider with primary practice located at 5509 Grand Blvd Suite 300, New Port Richey FL 34652-3836. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fusillo, Nancy M. can be contacted via phone (727) 232-0644.

Contact Information

Primary practice address
5509 Grand Blvd Suite 300 New Port Richey FL 34652-3836
Phone: (727) 232-0644
Fax: (888) 546-0488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 1743292 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP 1743292 Florida

Profile Details

NPI number 1396767620
LBN Legal business name Fusillo, Nancy M.
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Apr 30th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396767620 NPPES
Other 1396767620 NPI
MEDICAID 000977000 NPI

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