Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patricia Ann Derusso, CRNP

Individual provider Pediatrics Physician · NPI 1386689131

Patricia Ann Derusso, CRNP is a Pediatrics Physician in Philadelphia, Pennsylvania. Licensed in Maryland and Pennsylvania. Registered with an NPI since 2006.

Licensed in
MD, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3401 Civic Center Blvd Children's Hospital Of Phila - Gastro & Nutrition
Philadelphia, PA 19104-4319
Phone: (215) 590-3247
Fax: (215) 590-3606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence MD048053L (PA)
Pediatrics Physician Taxonomy 208000000X · Licence R114248 (MD)

Record details

NPI number1386689131
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESApril 15, 2013

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