Healthcare Provider Details

I. General information

NPI: 1518924257
Provider Name (Legal Business Name): MARY SARAH SEK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MARY SARAH NOLAN RN

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 MONOCACY STREET MORAVIAN COLLEGE HEALTH CENTER
BETHLEHEM PA
18018
US

IV. Provider business mailing address

2032 HUNTINGTON ST
BETHLEHEM PA
18017
US

V. Phone/Fax

Practice location:
  • Phone: 610-861-1567
  • Fax: 610-625-7899
Mailing address:
  • Phone: 610-868-7234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberVP006606B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: