Provider Demographics
NPI:1982189460
Name:SEGERS, ERICA LORRINE (NP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LORRINE
Last Name:SEGERS
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:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-316-5000
Mailing Address - Fax:704-316-5010
Practice Address - Street 1:14215 BALLANTYNE CORPORATE PL STE 230
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3874
Practice Address - Country:US
Practice Address - Phone:704-316-5000
Practice Address - Fax:704-316-5010
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011142363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner