| Doctor Name: | MR. AMERICUS J DESANTIS |
| NPI Number: | 1528096427 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | VP002288C |
| Business Practice Address: | 1831 Vollmer Dr Glenshaw, PA - 151162160 |
| Business Phone Number: | 4124872720 |
| Business Fax Number: | 4126924223 |
| Mailing Address: | 1831 Vollmer Dr, GLENSHAW |
| State: | PA |
| Postal Code: | 151162160 |
| Phone Number: | 4124872720 |
| Fax Number: | 4126924223 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 02/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | VP002288C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |