Individual
DAVID ANTICO
Active
Individual
DAVID ANTICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN585298PA
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013584
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14030003000461
MEDICARE DCN
—
Enumeration date
05/29/2013
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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