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Individual

ANASTASIA LEIGH TUSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-PMH

Contact information

Practice address
8614 OCEAN GTWY, STE 4, EASTON, MD 21601-7217
(410) 690-8181
(410) 690-8185
Mailing address
8614 OCEAN GTWY, # 4, EASTON, MD 21601-7217
(410) 749-1015
(410) 749-0654

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R187655
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
07/06/2012
Last updated
04/21/2016
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