Individual
MRS. REGINA MARY BROOKS-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3439
(859) 287-3045
(859) 578-3800
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-2000
(859) 426-4140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001168260
VA
363L00000X
Nurse Practitioner
0017138054
VA
363L00000X
Nurse Practitioner
Primary
3006374
KY
363L00000X
Nurse Practitioner
71013431A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3159844
—
OH
05
—
7100163060
—
KY
Enumeration date
09/28/2006
Last updated
12/19/2025
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