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Individual

MS. MARY KAY SEGUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
281 LINCOLN ST, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 01605-2138
(508) 334-6606
(508) 334-5156
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
166615
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN166615
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110016050A
MA
Enumeration date
03/31/2006
Last updated
03/08/2022
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