Provider Demographics
NPI:1215939152
Name:GRECO, FRANCINE M (CRNA)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:M
Last Name:GRECO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 VANDERMARK AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-9597
Mailing Address - Country:US
Mailing Address - Phone:570-868-7721
Mailing Address - Fax:570-474-1174
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:GMC ANESTHESIOLOGY
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-2025
Practice Address - Country:US
Practice Address - Phone:570-271-6845
Practice Address - Fax:570-271-6762
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN323417L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA035676Medicare ID - Type Unspecified
PAP00087Medicare UPIN