Individual
ELLEN MARGARET KRESCA
Active
Individual
ELLEN MARGARET KRESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10002625A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074790058
MEDICARE
IN
05
—
300018945
—
IN
05
—
300025053
—
IN
Enumeration date
02/07/2019
Last updated
12/18/2025
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