Provider Demographics
NPI:1427406503
Name:SEGER, KAYE L (AGPCNP-BC, FNP)
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:L
Last Name:SEGER
Suffix:
Gender:F
Credentials:AGPCNP-BC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 ROUTE 72
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-1010
Mailing Address - Country:US
Mailing Address - Phone:609-660-2119
Mailing Address - Fax:
Practice Address - Street 1:469 ROUTE 72
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-1010
Practice Address - Country:US
Practice Address - Phone:609-660-2119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-30
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11997600363L00000X
NJ26NJ00673700363LA2200X, 363LG0600X
PASP016577363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health