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NPI Code Detail

MEDICARE: GEORGINA SEGURA NP-C

MEDICARE: GEORGINA SEGURA NP-C
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
1363LA2200XAdult Health Nurse PractitionerAPN.0992424CO
2363LG0600XGerontology Nurse PractitionerAPN.0992424CO
3363LP2300XPrimary Care Nurse PractitionerAPN.0992424-NPCO

General Provider Information

NPI Number : 1992155956
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGINA SEGURA NP-C
Provider Business Mailing Address
First Line : 2955 NEW CENTER PT # 1249
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-2806
Country : US
Telephone Number : 719-394-5436
Fax Number : 719-394-5436
Provider Business Practice Location Address
First Line : 2955 NEW CENTER PT # 1249
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-2806
Country : US
Telephone Number : 719-394-5436
Fax Number : 719-394-5436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 09/03/2024

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