Provider Demographics
NPI:1275554354
Name:RESLER, ELAINE M (MSN CRNP CDE)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:M
Last Name:RESLER
Suffix:
Gender:F
Credentials:MSN CRNP CDE
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:JONES
Other - Last Name:RESLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN CRNP CDE
Mailing Address - Street 1:1228 ELK STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323
Mailing Address - Country:US
Mailing Address - Phone:814-432-2145
Mailing Address - Fax:814-437-9215
Practice Address - Street 1:1228 ELK STREET
Practice Address - Street 2:FRANKLIN MEDICAL GROUP
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323
Practice Address - Country:US
Practice Address - Phone:814-432-2145
Practice Address - Fax:814-437-9215
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP004712B363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
013318Medicare ID - Type Unspecified