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Provider Information for 1447226121

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

KATHLEEN REGAN NP

Gender: FEMALE

Individual NPI: 1447226121

Calendar   Last Updated:  2019-08-21
  Certification Date: 

Details

Name Value
NPI 1447226121
Enumeration Date 2006-02-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 601 BROOKER CREEK BLVD
OLDSMAR, FL 34677-2962
United States

Phone: 813-818-3226 | Fax:
View Map External Link
Primary Practice Address 601 BROOKER CREEK BLVD
OLDSMAR, FL 34677-2962
United States

Phone: 813-818-3226 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 305729100
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL APRN1111662