Individual
REBECCA GRESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 2ND AVE, KINGSTON, PA 18704-5722
(570) 288-9315
Mailing address
525 BODLE RD, WYOMING, PA 18644-6019
(570) 472-5352
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP024063
PA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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