Provider Demographics
NPI:1831816651
Name:SEGURA, YANET (RN)
Entity type:Individual
Prefix:
First Name:YANET
Middle Name:
Last Name:SEGURA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:YANET
Other - Middle Name:
Other - Last Name:SEGURA-TAVERAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:229 OXFORD AVE UPPR UNIT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1215
Mailing Address - Country:US
Mailing Address - Phone:716-986-5680
Mailing Address - Fax:
Practice Address - Street 1:127 NORTH ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1631
Practice Address - Country:US
Practice Address - Phone:585-343-6030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY702297-01163W00000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse