Provider Demographics
NPI:1053151381
Name:OLESKO, AMY (RN)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:OLESKO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 TWIN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:GRINDSTONE
Mailing Address - State:PA
Mailing Address - Zip Code:15442-1149
Mailing Address - Country:US
Mailing Address - Phone:724-812-1251
Mailing Address - Fax:
Practice Address - Street 1:395 TWIN HILLS RD
Practice Address - Street 2:
Practice Address - City:GRINDSTONE
Practice Address - State:PA
Practice Address - Zip Code:15442-1149
Practice Address - Country:US
Practice Address - Phone:724-812-1251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN522757L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse