Individual
REGINA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
205 LARKSPUR LN, STAFFORD, VA 22554-7781
(860) 462-0980
Mailing address
205 LARKSPUR LN, STAFFORD, VA 22554-7781
(860) 462-0980
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002096650
VA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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