Individual
STEPHANIE SEGELSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
801 MATLOCK RD, MANSFIELD, TX 76063-9174
(817) 347-8420
(817) 347-8425
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
750733
TX
Other
Enumeration date
04/10/2014
Last updated
04/06/2021
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