Individual
REGINA L MASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APRN
Contact information
Practice address
4123 DUTCHMANS LN STE 601, LOUISVILLE, KY 40207
(502) 423-9595
(502) 719-0161
Mailing address
COMMUNITY MEDICAL ASSOCIATES INC, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000453C
IN
367A00000X
Advanced Practice Midwife
09000462A
IN
367A00000X
Advanced Practice Midwife
Primary
3009943
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102273418
ANTHEM PTAN
IN
05
—
300027297
—
IN
Enumeration date
12/14/2015
Last updated
06/18/2025
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