Active NPIIndividual provider

Gina Crealese

Licensed Practical Nurse in Brockton, Massachusetts

NPI Number1174900278
Practice location
63 Main St, Brockton, MA 02301-4042
Fax
508-559-5073
Last updated
April 28, 2015

Gina Crealese is a Licensed Practical Nurse based in Brockton, MA. Gina Crealese practices in Brockton, MA. The NPI Number for Gina Crealese is 1174900278 and holds a License No. LN86970 (MA). The current practice location address for Gina Crealese is 63 Main St, Brockton, MA 02301-4042 and can be reached out via phone at 508-559-6696 and via fax at 508-559-5073.

Provider Profile Details

NPI Number
1174900278
Provider Name
Gina Crealese
Provider Entity Type
Individual
Gender
Female
Address
63 Main St, Brockton, MA 02301-4042
Phone Number
508-559-6696
Fax Number
508-559-5073
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2015
Last Update Date
April 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Main St
Brockton, MA 02301-4042
Zip
02301-4042
Phone Number
508-559-6696
Fax Number
508-559-5073
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
63 Main St
Brockton, MA 02301-4042
City
Brockton
State
MA
Zip
02301-4042
Phone Number
508-559-6696
Fax Number
508-559-5073

License Information

License Number
LN86970
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gina Crealese?

The NPI number of Gina Crealese is 1174900278. It was assigned on April 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Gina Crealese?

Gina Crealese is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN86970.

Where does Gina Crealese practice?

The practice location is 63 Main St, Brockton, MA 02301-4042. The office can be reached at 508-559-6696 (phone) or 508-559-5073 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174900278 directly on the NPPES registry website.

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