Provider Demographics
NPI:1285126722
Name:SEGUIN, NORMA
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:SEGUIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7003 BAYOU PAUL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT GABRIEL
Mailing Address - State:LA
Mailing Address - Zip Code:70776-5606
Mailing Address - Country:US
Mailing Address - Phone:225-588-7961
Mailing Address - Fax:
Practice Address - Street 1:7003 BAYOU PAUL RD
Practice Address - Street 2:
Practice Address - City:SAINT GABRIEL
Practice Address - State:LA
Practice Address - Zip Code:70776-5606
Practice Address - Country:US
Practice Address - Phone:225-588-7961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN142036163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse