Individual
MS. SUSAN BREAKELL GRESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TP001082D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001461156-0002
—
PA
01
—
1666860
PERSONAL/BLUE CHOICE
PA
01
—
2342494000
KEYSTONE HEALTH PLAN EAST
PA
01
—
30012908
KEYSTONE MERCY-NORRISTOWN
PA
01
—
30019381
KEYSTONE MERCY-ABINGTON
PA
01
—
GR1666860
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/14/2006
Last updated
07/13/2026
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