Individual provider · Type 1 NPI

Joseph D. Secreto, AGNP

Gerontology Nurse Practitioner · Novi, MI

NPI number 1124894050 Active

Practice location

47601 Grand River Ave
Novi, MI 48374-1233

Call (248) 465-3372 Map

Fax (248) 465-4765

Mailing address

PO Box 14129
Belfast, ME 04915-4032

Other practice locations

  • 620 S Taylor Ave, Div Im Infectious Disease, Ste 100, St. Louis, MO 63110-1035 · (314) 747-1206

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X2024000132 (MO)
Gerontology Nurse Practitioner Primary 363LG0600X47044413636 (MI)

Gerontology Nurse Practitioner: Definition to come...

119 other providers at this address

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About NPI 1124894050

Joseph D. Secreto, AGNP's National Provider Identifier is 1124894050, issued on Dec 1, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Novi, MI. The record was last updated on Jul 18, 2024.