Individual
REGINA M REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4485
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024177645
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
AC001693
MD
363LG0600X
Gerontology Nurse Practitioner
AC001693
MD
Other
Enumeration date
02/14/2016
Last updated
07/09/2021
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