Basic Information
| Provider Information | |||||||||
| NPI: | 1528394327 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TRESKOVICH | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RN. MSN.,CS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 111 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 157790111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244598000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | STATE ROUTE 1014 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 157790111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244598000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2009 | ||||||||
| LastUpdateDate: | 10/29/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SP0809X | RN245795L | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health, Adult |
No ID Information.