Individual
NICHOLE RENSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2255 PHILADELPHIA ST, INDIANA, PA 15701-1595
(724) 463-0476
(724) 463-1196
Mailing address
2255 PHILADELPHIA ST, INDIANA, PA 15701-1595
(724) 463-0476
(724) 463-1196
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058462
PA
Other
Enumeration date
09/23/2016
Last updated
04/15/2021
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