Provider Demographics
NPI:1306661582
Name:DELISIO, ANTHONY (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:DELISIO
Suffix:
Gender:M
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-2919
Mailing Address - Country:US
Mailing Address - Phone:724-561-8183
Mailing Address - Fax:724-561-8183
Practice Address - Street 1:1650 METROPOLITAN ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-2212
Practice Address - Country:US
Practice Address - Phone:412-402-4390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP030753363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily