1275554354 NPI number — ELAINE M RESLER MSN CRNP CDE

Table of content: ELAINE M RESLER MSN CRNP CDE (NPI 1275554354)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275554354 NPI number — ELAINE M RESLER MSN CRNP CDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RESLER
Provider First Name:
ELAINE
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN CRNP CDE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RESLER
Provider Other First Name:
ELAINE
Provider Other Middle Name:
JONES
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN CRNP CDE
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1275554354
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1228 ELK STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16323
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-432-2145
Provider Business Mailing Address Fax Number:
814-437-9215

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1228 ELK STREET
Provider Second Line Business Practice Location Address:
FRANKLIN MEDICAL GROUP
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-432-2145
Provider Business Practice Location Address Fax Number:
814-437-9215
Provider Enumeration Date:
07/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  TP004712B , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)