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NPI Code Detail

MEDICARE: KAREN LOUISE SECORE APRN

MEDICARE: KAREN LOUISE SECORE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner032481-23NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124076245
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LOUISE SECORE APRN
Provider Business Mailing Address
First Line : 400 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4390
Country : US
Telephone Number : 805-832-3633
Fax Number :
Provider Business Practice Location Address
First Line : 400 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4353
Country : US
Telephone Number : 805-832-3633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 06/30/2021

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Directions to “ KAREN LOUISE SECORE APRN” Practice Location

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