Individual
NICOLLE SEGARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
95 NORTHFIELD AVE, WEST ORANGE, NJ 07052-4731
(973) 325-2266
Mailing address
49 SHERIDAN DR APT 12, SHREWSBURY, MA 01545-3839
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00633800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2019
Last updated
10/06/2021
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