Provider Demographics
NPI:1922019645
Name:SEGARRA-NEWNHAM, MARISEL (PHARMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MARISEL
Middle Name:
Last Name:SEGARRA-NEWNHAM
Suffix:
Gender:F
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 N MILITARY TR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6400
Mailing Address - Country:US
Mailing Address - Phone:561-422-8330
Mailing Address - Fax:561-422-5378
Practice Address - Street 1:7305 N MILITARY TR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6400
Practice Address - Country:US
Practice Address - Phone:561-422-8330
Practice Address - Fax:561-422-5378
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212031835P1200X
FLPS366401835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy