Individual
LINDA K REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3516
(860) 679-1275
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000375
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004219897
—
CT
Enumeration date
06/30/2005
Last updated
06/09/2008
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