Healthcare Provider Details

I. General information

NPI: 1528394327
Provider Name (Legal Business Name): NANCY LEE TRESKOVICH RN. MSN.,CS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 10/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STATE ROUTE 1014
TORRANCE PA
15779-0111
US

IV. Provider business mailing address

PO BOX 111
TORRANCE PA
15779-0111
US

V. Phone/Fax

Practice location:
  • Phone: 724-459-8000
  • Fax:
Mailing address:
  • Phone: 724-459-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN245795L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: