Provider Demographics
NPI:1437407871
Name:CRESHO, MARIA (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CRESHO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 S OCEAN BLVD
Mailing Address - Street 2:# C122
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-5481
Mailing Address - Country:US
Mailing Address - Phone:561-967-1970
Mailing Address - Fax:
Practice Address - Street 1:2565 S OCEAN BLVD
Practice Address - Street 2:# C122
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-5481
Practice Address - Country:US
Practice Address - Phone:561-967-1970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1972464163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse