Provider Demographics
NPI:1992988182
Name:SESA, LINDA J (CRNP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:SESA
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 1:50 HUNTINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-214-3791
Mailing Address - Fax:215-214-4017
Practice Address - Street 1:50 HUNTINGTON PIKE
Practice Address - Street 2:FOX CHASE CANCER CENTER
Practice Address - City:ROCKLEDGE
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:215-214-3791
Practice Address - Fax:215-214-4017
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN507921L163W00000X
PAUP005220G363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
027820Medicare UPIN