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Individual
MS. REGINA KIRWAN WARDWELL
Active
Individual
MS. REGINA KIRWAN WARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173609
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000731
—
NC
Enumeration date
10/27/2006
Last updated
05/20/2020
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