Provider Demographics
NPI:1073224804
Name:SEGEE, CASSANDRA (FNP)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:
Last Name:SEGEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N CYPRESS DR APT A
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3711
Mailing Address - Country:US
Mailing Address - Phone:413-347-3040
Mailing Address - Fax:
Practice Address - Street 1:420 N CYPRESS DR APT A
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-3711
Practice Address - Country:US
Practice Address - Phone:413-347-3040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2022064798363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care