Provider Demographics
NPI:1942002134
Name:SEGURA, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SEGURA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 E REDLANDS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3760
Mailing Address - Country:US
Mailing Address - Phone:909-301-8905
Mailing Address - Fax:
Practice Address - Street 1:245 E REDLANDS BLVD STE A
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3760
Practice Address - Country:US
Practice Address - Phone:909-301-8905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty