Individual
REGINA RADIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
635 MAIN ST, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Mailing address
635 MAIN ST, ATTN: CREDENTIALING DEPARTMENT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
075652
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
003520
CT
Other
Enumeration date
10/26/2006
Last updated
09/11/2025
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