Individual
REGINA EXCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2093 PENNSYLVANIA AVE, SAYRE, PA 18840-1085
(570) 867-2189
Mailing address
2093 PENNSYLVANIA AVE, SAYRE, PA 18840-1085
(570) 867-2189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
710203
NY
163W00000X
Registered Nurse
Primary
RN649205
PA
163WE0003X
Emergency Registered Nurse
710203
NY
163WE0003X
Emergency Registered Nurse
RN649205
PA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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