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NPI Code Detail

MEDICARE: KRISTIN SEGURA APRN, NP

MEDICARE: KRISTIN SEGURA APRN, NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP09085LA

General Provider Information

NPI Number : 1881131266
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN SEGURA APRN, NP
Provider Business Mailing Address
First Line : 2829 4TH AVE
Second Line : STE 150
City : LAKE CHARLES
State : LA
Zip : 70601-7897
Country : US
Telephone Number : 337-477-7091
Fax Number : 337-474-4552
Provider Business Practice Location Address
First Line : 2802 HODGES ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-7368
Country : US
Telephone Number : 337-419-1873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2017
Last Update Date : 12/10/2019

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