Individual provider · Type 1 NPI
Blair Elaine Segers, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1104370204
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
3500 Civic Center Blvd, Hub For Clinical Collaboration, 3520-20
Philadelphia, PA 19104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP016390 (PA) |
| Pediatric Nurse Practitioner | 363LP0200X | 26961 (TN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104370204
Blair Elaine Segers, CRNP's National Provider Identifier is 1104370204, issued on Aug 7, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 29, 2024.