MEDICARE: KATHRYN SEGURA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11044924	FL

General Provider Information

NPI Number	:	1588523054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN SEGURA

Provider Business Mailing Address
First Line	:	655 SW LITTLE TALBOT CT
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-2058
Country	:	US
Telephone Number	:	404-769-4130
Fax Number	:

Provider Business Practice Location Address
First Line	:	729 SW FEDERAL HWY STE 104
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2913
Country	:	US
Telephone Number	:	561-257-3099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ KATHRYN SEGURA ” Practice Location

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