Individual
MRS. REGINA D. DEMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1900 W ESPLANADE AVE, SUITE 102, KENNER, LA 70065-3463
(504) 466-2289
Mailing address
1900 W ESPLANADE AVE, SUITE102, KENNER, LA 70065-3463
(504) 466-2269
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
02218
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679038
—
LA
Enumeration date
02/20/2007
Last updated
01/18/2012
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