Provider Demographics
NPI:1992155956
Name:SEGURA, GEORGINA (NP-C)
Entity type:Individual
Prefix:
First Name:GEORGINA
Middle Name:
Last Name:SEGURA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 NEW CENTER PT # 1249
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2806
Mailing Address - Country:US
Mailing Address - Phone:719-394-5436
Mailing Address - Fax:719-394-5436
Practice Address - Street 1:2955 NEW CENTER PT # 1249
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2806
Practice Address - Country:US
Practice Address - Phone:719-394-5436
Practice Address - Fax:719-394-5436
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992424363LA2200X, 363LG0600X
COAPN.0992424-NP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology