Provider Demographics
NPI:1841213758
Name:KESSLER, RENEE (CRNP)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:CRNP
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 245
Mailing Address - Street 2:
Mailing Address - City:ADAMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15611-0245
Mailing Address - Country:US
Mailing Address - Phone:724-454-4144
Mailing Address - Fax:
Practice Address - Street 1:885 MACBETH DRIVE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-856-7071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007318363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAKE1815065OtherBLUE SHIELD
PAKE1815065OtherBLUE SHIELD
PAQ29552Medicare UPIN