person
Mr. Joseph D Secreto, AGNP
Gerontology Nurse Practitioner in Saint Louis, Missouri
NPI 1124894050

Joseph D Secreto is a Gerontology Nurse Practitioner based in Saint Louis, MO and is specialized in Gerontology. Joseph D Secreto practices in Saint Louis, MO and has the professional credentials of AGNP. The NPI Number for Joseph D Secreto is 1124894050 and holds a License No. 2024000132 (Missouri).

The current practice location address for Joseph D Secreto is 620 S Taylor Ave, Saint Louis, MO and can be reached out via phone at 314-747-1206 and via fax at 314-454-5392.

Location: 620 S Taylor Ave, Saint Louis, MO, 63110-1010
person
Provider Profile Details
NPI Number
1124894050
Provider Name
Joseph D Secreto
Credential
AGNP
Provider Entity Type
Individual
Gender
Male
Address
620 S Taylor Ave, Saint Louis, MO, 63110-1010
Phone Number
314-747-1206
Fax Number
314-454-5392
Provider Enumeration Date
12/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 S Taylor Ave
City
State
Zip
63110-1035
Phone Number
314-747-1206
Fax Number
314-454-5392
person
Provider Business Mailing Address Details
Address
620 S Taylor Ave
City
State
Zip
63110-1035
Phone Number
314-747-1206
Fax Number
314-454-5392
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2024000132 (Missouri)
Definition
Definition to come...
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