Individual
ANDREA M REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
67000047
OH
367H00000X
Anesthesiologist Assistant
Primary
AA217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014251000
—
FL
05
—
2265267
—
OH
Enumeration date
04/19/2006
Last updated
10/26/2023
Update your record
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