Healthcare Provider Details

I. General information

NPI: 1215939152
Provider Name (Legal Business Name): FRANCINE M GRECO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE GMC ANESTHESIOLOGY
DANVILLE PA
17822-2025
US

IV. Provider business mailing address

61 VANDERMARK AVE
MOUNTAIN TOP PA
18707-9597
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6845
  • Fax: 570-271-6762
Mailing address:
  • Phone: 570-868-7721
  • Fax: 570-474-1174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN323417L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: