Individual
REGENIA PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
703 K ST, FAIRBURY, NE 68352-2199
(402) 729-6104
Mailing address
648 W COURT ST APT 2, BEATRICE, NE 68310-3608
(402) 729-6104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28347
NE
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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