Provider Demographics
NPI:1215469994
Name:SEGOVIA, LAURA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:SEGOVIA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5277 OLD BROWNSVILLE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-3930
Mailing Address - Country:US
Mailing Address - Phone:361-452-5923
Mailing Address - Fax:361-452-5748
Practice Address - Street 1:5277 OLD BROWNSVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-3930
Practice Address - Country:US
Practice Address - Phone:361-452-5923
Practice Address - Fax:361-452-5748
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133631363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily