Individual
KRISTINA MARIE REGWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 LIGHTHOUSE AVE, MONTEREY, CA 93940-1439
(831) 649-0770
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 649-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95098522
CA
207Q00000X
Family Medicine Physician
95022967
CA
363L00000X
Nurse Practitioner
Primary
95022967
CA
Other
Enumeration date
11/18/2016
Last updated
02/21/2023
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