Individual
REGINA N JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPNP
Contact information
Practice address
451 RUIN CREEK RD, SUITE 101, HENDERSON, NC 27536-2878
(252) 492-9565
Mailing address
11201 CEDAR LAKE DR APT 3H, RALEIGH, NC 27614-5916
(410) 456-1887
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5004232
NC
Other
Enumeration date
11/29/2006
Last updated
08/18/2021
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