Individual
THERESA A SEGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
500 RED CREEK DR, SUITE 120, ROCHESTER, NY 14623
(585) 487-3400
(585) 334-3327
Mailing address
BOX 668, 601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 487-3400
(585) 334-3327
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
387113-1
NY
163WG0000X
General Practice Registered Nurse
F420873-1
NY
363L00000X
Nurse Practitioner
Primary
420873
NY
Other
Enumeration date
05/12/2008
Last updated
09/17/2012
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