Provider Demographics
NPI:1548035173
Name:PLONSKI, GINA LUKAS (CRNP)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:LUKAS
Last Name:PLONSKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 ROCKLAND ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-1501
Mailing Address - Country:US
Mailing Address - Phone:610-988-4838
Mailing Address - Fax:
Practice Address - Street 1:121 MARKET ST STE 6
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-4929
Practice Address - Country:US
Practice Address - Phone:610-943-5816
Practice Address - Fax:610-943-5960
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027927363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily