NPI 1699048579 · live from the CMS NPI Registry
Laura Andrews Segura
Physician Assistant in Provo, UT. National Provider Identifier 1699048579, active.
NPI record
| NPI | 1699048579 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1726 Buckley Ln, Provo, UT 84606 |
| Practice phone | 801-375-9222 |
| Mailing address | 885 N 100 W, Orem, UT 84057 |
| Enumerated | February 22, 2012 |
| Last updated | February 23, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 12099180-1206 (UT) |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.