Individual
REGAN AMANDA DARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2626 N BRYANT BLVD, SAN ANGELO, TX 76903-2861
(325) 481-2271
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821256
LICENSE
TX
01
—
AP139881
PRACTITIONER LICENSE
TX
Enumeration date
05/03/2019
Last updated
05/03/2019
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