Provider Demographics
NPI:1962883413
Name:HUSSEY, ANITA (CRNP)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:HUSSEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:JERAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 CLIFFMINE RD
Mailing Address - Street 2:PARK WEST TWO, STE 110
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-1008
Mailing Address - Country:US
Mailing Address - Phone:412-494-4550
Mailing Address - Fax:412-494-4551
Practice Address - Street 1:2000 CLIFFMINE RD
Practice Address - Street 2:PARK WEST TWO, STE 110
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1008
Practice Address - Country:US
Practice Address - Phone:412-494-4550
Practice Address - Fax:412-494-4551
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP041966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily