Individual
REGENIA WASHINGTON-REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 E CHARNWOOD ST, TYLER, TX 75701-1708
(903) 525-1664
Mailing address
PO BOX 5500, TYLER, TX 75712-5500
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
632686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9463733
TC-PHCS PROVIDER #
TX
Enumeration date
03/05/2007
Last updated
07/30/2007
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