Provider Demographics
NPI:1306085162
Name:SEKERSKI, REBECCA JEAN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JEAN
Last Name:SEKERSKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2401
Mailing Address - Country:US
Mailing Address - Phone:814-673-5321
Mailing Address - Fax:
Practice Address - Street 1:280 CLINTON CT
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3362
Practice Address - Country:US
Practice Address - Phone:814-333-8277
Practice Address - Fax:814-333-6203
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP-010195363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP01642435OtherMEDICARE RAILROAD
PAP01642435OtherMEDICARE RAILROAD