Individual
MR. GERALD JOHN BRISKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-4144
(570) 768-3911
Mailing address
1 HOSPITAL DR, SUITE 306, LEWISBURG, PA 17837-9350
(570) 522-4144
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2358361
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007405486
—
PA
01
—
BR26253
BLUE SHIELD
PA
Enumeration date
10/19/2005
Last updated
10/28/2015
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