Robert Secor, FNP
Individual provider Active NPI Family Nurse Practitioner · Delton, MI
NPI 1700327640 · NPPES record last updated Mar 11, 2017
Key facts
- NPI
- 1700327640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704226211 (MI)
- Practice address
- 4301 Harrington Rd
Delton, MI 49046-9568 - Phone
- (269) 580-1093
- NPI assigned
- Mar 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704226211 | MI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704226211 | MI | Yes |
Addresses
Primary practice location
4301 Harrington Rd
Delton, MI 49046-9568
Mailing address
11320 S M 43 Hwy
Delton, MI 49046-9415
Phone (269) 623-5521
Other providers in Delton, MI
- Deborah Lynn Pace
- Pennock Hospital
- Pennock Hospital Board of Trustees
- Reliant Home Care, LLC
- Joseph C. Roth
- Jennifer Lynn Sinkler
- Patricia Catherine Werme
All providers in Delton, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.