Provider Demographics
NPI:1437770757
Name:SEGOVIA, CASEY LANAE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:LANAE
Last Name:SEGOVIA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 LA BAHIA LOOP
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-2858
Mailing Address - Country:US
Mailing Address - Phone:830-312-8032
Mailing Address - Fax:
Practice Address - Street 1:2130 NE INTERSTATE 410 LOOP
Practice Address - Street 2:STE 375
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217
Practice Address - Country:US
Practice Address - Phone:210-634-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX796867163W00000X
TX1112180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse