Provider Demographics
NPI:1578026456
Name:GRESSEL, ANGEL F (CRNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:F
Last Name:GRESSEL
Suffix:
Gender:F
Credentials:CRNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 REED RD
Mailing Address - Street 2:
Mailing Address - City:CORRY
Mailing Address - State:PA
Mailing Address - Zip Code:16407-3528
Mailing Address - Country:US
Mailing Address - Phone:814-706-3607
Mailing Address - Fax:
Practice Address - Street 1:451 FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:16403-1238
Practice Address - Country:US
Practice Address - Phone:814-398-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN680263163W00000X
PASP020152363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse