Individual provider · Type 1 NPI
Michael Christopher Secallus, FNP
Nurse Practitioner · Marathon, NY
Practice location
20 East Main Street
Marathon, NY 13803
Mailing address
85 S West St
Homer, NY 13077-1542
Other practice locations
- 2805 Cincinnatus Rd, Cincinnatus, NY 13040-9685 · (607) 863-4126
- Lourdes Endicott Walk-In 415 E. Main St, Endicott, NY 13760 · (607) 785-2460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | F339980-1 (NY) |
| Nurse Practitioner Primary | 363L00000X | 339980 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
6 other providers at this address
- Family Health Network of Central New York, IncFederally Qualified Health Center (FQHC) Marathon, NY NPI 1114158276
- Douglas Andrew RahnerFamily Medicine Physician Marathon, NY NPI 1790773745
- Heather June Teribury, NPFamily Nurse Practitioner Marathon, NY NPI 1902669013
- Kevin M. Carr, PA-CPhysician Assistant Marathon, NY NPI 1699451914
- Natalia Lynne McCormick, NPFamily Nurse Practitioner Marathon, NY NPI 1386130128
- Terrissa Coretta Martin, MDObstetrics & Gynecology Physician Marathon, NY NPI 1548556442
Other nurse practitioner providers in Marathon
About NPI 1730787128
Michael Christopher Secallus, FNP's National Provider Identifier is 1730787128, issued on Oct 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marathon, NY. The record was last updated on Jun 27, 2023.