Angelica R. Segura, MSW
Individual provider Active NPI Counselor · Fort Sumner, NM
NPI 1659627529 · NPPES record last updated Oct 17, 2019
Key facts
- NPI
- 1659627529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- De Baca Family Practice Clinic
546 N. 10TH Street
Fort Sumner, NM 88119 - Phone
- (575) 355-2414
- Fax
- (575) 355-7894
- NPI assigned
- Jul 30, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
De Baca Family Practice Clinic
546 N. 10TH Street
Fort Sumner, NM 88119
Mailing address
P.O. Box 349
Fort Sumner, NM 88119
Phone (575) 355-2414
Other providers in Fort Sumner, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.