Organization
NEXT STEP FAMILY HEALTH NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA DERVISEVIC FNP (OWNER)
(315) 939-0214
Entity
Organization
Contact information
Practice address
3136 ONEIDA ST, SAUQUOIT, NY 13456-2800
(315) 737-3522
Mailing address
113 WELLS DR, UTICA, NY 13502-1157
(315) 939-0214
(315) 737-3522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04961831
—
NY
05
—
07254653
—
NY
Enumeration date
10/23/2024
Last updated
10/23/2024
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