Provider Demographics
NPI:1326248188
Name:TREGO, BRENDA SUE (CNA)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:SUE
Last Name:TREGO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR#1BOX 284E
Mailing Address - Street 2:
Mailing Address - City:HONEY GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17035
Mailing Address - Country:US
Mailing Address - Phone:717-734-2044
Mailing Address - Fax:
Practice Address - Street 1:501 MARKET STREET, 2ND FLOOR
Practice Address - Street 2:GENERAL HEALTH CARE RESOURCES INC
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837
Practice Address - Country:US
Practice Address - Phone:717-734-2044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9309350376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide