| NPI | 1538168497 |
|---|---|
| Former Name | MAUREEN ANN REGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ NN073468) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F346984) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2021-09-23 |