GINA CREALESE
NPI 1174900278
Licensed Practical Nurse in Brockton, MA

Active since April 28, 2015
63 MAIN ST, BROCKTON, MA 02301(508) 559-6696(508) 559-5073 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gina Crealese NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA CREALESE (NPI 1174900278) is an individual licensed practical nurse in Brockton, Massachusetts, licensed in Massachusetts (LN86970) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1174900278
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGINA CREALESE
Location Address63 MAIN STBrockton, MA 02301-4042
Mailing Address63 Main StBrockton, MA 02301-4042 · (508) 559-6696 · Fax (508) 559-5073
Fax(508) 559-5073
Sole ProprietorNo
Enumeration DateApril 28, 2015
NPI 1174900278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MA · LN86970
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
63 MAIN ST, Brockton, MA 02301

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
63 MAIN ST
BROCKTON, MA 02301
Dental Hygienist
63 MAIN ST
BROCKTON, MA 02301
Nurse Practitioner (Adult Health)
63 MAIN ST
BROCKTON, MA 02301
Internal Medicine
63 MAIN ST
BROCKTON, MA 02301
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Registered Nurse
63 MAIN ST
BROCKTON, MA 02301
Advanced Practice Midwife
63 MAIN ST
BROCKTON, MA 02301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina Crealese's NPI number?

The NPI number for Gina Crealese is 1174900278. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Gina Crealese located?

Gina Crealese practices at 63 Main St, Brockton, MA 02301. The listed phone number is (508) 559-6696.

What is Gina Crealese's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gina Crealese was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.