Provider Demographics
NPI:1851956221
Name:SEGOVIA, ANABEL (NP)
Entity Type:Individual
Prefix:MRS
First Name:ANABEL
Middle Name:
Last Name:SEGOVIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 S CLAREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-6532
Mailing Address - Country:US
Mailing Address - Phone:559-859-0221
Mailing Address - Fax:
Practice Address - Street 1:4601 DALE RD
Practice Address - Street 2:MEDICAL OFFICE 3RD FLOOR WOMEN'S HEALTH
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356
Practice Address - Country:US
Practice Address - Phone:209-735-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily