Connie Renee Gresly, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

259593 Issued in AZ

Practice address

4434 W Tierra Buena LN
Glendale, AZ 85306-2704

Phone

(602) 486-9318

NPI assigned

Dec 9, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1578379244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 W TIERRA BUENA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062704",
            "telephone_number": "602-486-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 W TIERRA BUENA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062704",
            "telephone_number": "602-486-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESLY",
        "first_name": "CONNIE",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "259593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chreyelisa Gregorio
• Gregory a Bode LLC
• Gregory M Becker DDS LLC
• Stacey Beth Gregory
• James M Grepling, P.A.C.
• Anmol Singh Grewal, MD
• Harneet Kaur Grewal, MD
• Jose Griego
• Nancy Gries
• Larry Lee Griffith, M.D.

• Emergency Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Emergency Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.