Healthcare Provider Details

I. General information

NPI: 1306085162
Provider Name (Legal Business Name): REBECCA JEAN SEKERSKI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 CLINTON CT
MEADVILLE PA
16335-3362
US

IV. Provider business mailing address

891 GROVE ST
MEADVILLE PA
16335-2401
US

V. Phone/Fax

Practice location:
  • Phone: 814-333-8277
  • Fax: 814-333-6203
Mailing address:
  • Phone: 814-673-5321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP-010195
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: