Amy Anne Secor, NP
Nurse Practitioner in Auburn, NY. Individual provider (NPI-1).
NPI number1629082425
StatusActive
Last updated in NPPESMar 19, 2021
Details
- NPI
- 1629082425
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Anne Secor
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Certification date
- Mar 19, 2021
- Last updated
- Mar 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F332291-1 | NY | Yes |
| 207Q00000X | Family Medicine | F3322911 | NY | |
| 207RG0100X | Internal Medicine, Gastroenterology | F332291-1 | NY |
Other names
- Amy Anne Fratangelo (Other Name)
Practice location
17 E Genesee St Ste 101Auburn, NY 13021-4112
Phone 315-253-5151 · Fax 315-253-0841
Mailing address
821 Pre Emption Rd Ste 300Geneva, NY 14456-2061
Phone 315-787-5310 · Fax 315-787-5314
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