Provider Demographics
NPI:1528394327
Name:TRESKOVICH, NANCY LEE (RN MSN,CS)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LEE
Last Name:TRESKOVICH
Suffix:
Gender:F
Credentials:RN MSN,CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 111
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:PA
Mailing Address - Zip Code:15779-0111
Mailing Address - Country:US
Mailing Address - Phone:724-459-8000
Mailing Address - Fax:
Practice Address - Street 1:STATE ROUTE 1014
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:PA
Practice Address - Zip Code:15779-0111
Practice Address - Country:US
Practice Address - Phone:724-459-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN245795L364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult