Provider Demographics
NPI:1518924257
Name:SEK, MARY SARAH (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:SARAH
Last Name:SEK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:SARAH
Other - Last Name:NOLAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2032 HUNTINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017
Mailing Address - Country:US
Mailing Address - Phone:610-868-7234
Mailing Address - Fax:
Practice Address - Street 1:1302 MONOCACY STREET
Practice Address - Street 2:MORAVIAN COLLEGE HEALTH CENTER
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018
Practice Address - Country:US
Practice Address - Phone:610-861-1567
Practice Address - Fax:610-625-7899
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP006606B207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine