MS. MARY KAY SEGUIN NP NPI 1417918103

NPI Information

NPI: 1417918103
Provider Name: MS. MARY KAY SEGUIN, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
281 LINCOLN ST
DEPARTMENT OF ORTHOPEDICS
WORCESTER, MA
ZIP 01605
Phone: (508) 334-6606
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MS. Mary Kay Seguin, NP is an acute care nurse practitioner in Worcester, MA. MS. Mary Kay Seguin, NP NPI is 1417918103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

281 LINCOLN ST
DEPARTMENT OF ORTHOPEDICS
WORCESTER, MA
ZIP 01605-138
Phone: (508) 334-6606
Fax: (508) 334-5156

The NPI 1417918103 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 3/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		166615	MASSACHUSETTS	No
2	363LA2100X	Nurse Practitioner	Acute Care	RN166615	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110016050A	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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