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FAITH LANETTE SECK CNP

Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1356512727

Individual Registrant:
 FAITH LANETTE SECK CNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
120 S JOHN SIMS PKWY STE A  VALPARAISO, FL 32580-1273 US
Tel: 850-678-6621  Fax: 850-729-0331

Contact information for business:
120 S JOHN SIMS PKWY STE A  VALPARAISO, FL 32580-1273 US
Tel: 850-678-6621  Fax: 850-729-0331

Registration Information:
NPI: 1356512727
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
OHAPRN.COA.019364
Y363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLAPRN11012546

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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