Individual
REGINA SHEA DALLA RIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6940 MICHIGAN RD STE 140, INDIANAPOLIS, IN 46268-2800
(317) 266-2901
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66402-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104211416
—
WI
Enumeration date
04/02/2015
Last updated
09/15/2025
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