Individual
MRS. REGINA M O'LEARY
Active
Individual
MRS. REGINA M O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP010426
PA
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.020627
OH
363LN0000X
Neonatal Nurse Practitioner
SP001256J
PA
Other
Enumeration date
01/31/2007
Last updated
05/03/2017
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