Individual
COLLEEN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
4112 LINKS LN STE 102, ROUND ROCK, TX 78664-3902
(512) 436-9455
(855) 299-7012
Mailing address
PO BOX 2089, GEORGETOWN, TX 78627-2089
(512) 930-4776
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1056664
TX
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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