Individual
CORIE CLARK SEGREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 7TH AVE S, SUITE 618, BIRMINGHAM, AL 35233-1711
(205) 638-5940
Mailing address
1600 7TH AVE S, SUITE 618, BIRMINGHAM, AL 35233-1711
(205) 638-5940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-115126
AL
363LP0222X
Critical Care Pediatric Nurse Practitioner
1-115126
AL
Other
Enumeration date
07/12/2012
Last updated
07/16/2012
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