MS. SUSAN BREAKELL GRESKO MSN CRNP NPI 1184688343

NPI Information

NPI: 1184688343
Provider Name: MS. SUSAN BREAKELL GRESKO, MSN, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1421 HIGHLAND AVE
ABINGTON, PA
ZIP 19001
Phone: (215) 572-7880
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MS. Susan Breakell Gresko, MSN, CRNP is a pediatrics nurse practitioner in Abington, PA. MS. Susan Breakell Gresko, MSN, CRNP NPI is 1184688343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1421 HIGHLAND AVE
ABINGTON, PA
ZIP 19001-610
Phone: (215) 572-7880
Fax: (215) 572-8024

The NPI 1184688343 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	TP001082D	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2342494000	OTHER	PENNSYLVANIA	KEYSTONE HEALTH PLAN EAST
2	001461156-0002	MEDICAID	PENNSYLVANIA
3	30019381	OTHER	PENNSYLVANIA	KEYSTONE MERCY-ABINGTON
4	1666860	OTHER	PENNSYLVANIA	PERSONAL/BLUE CHOICE
5	GR1666860	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
6	30012908	OTHER	PENNSYLVANIA	KEYSTONE MERCY-NORRISTOWN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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