Individual
ASHLEY E REGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 E NORTHFIELD DR STE A, BROWNSBURG, IN 46112-2210
(317) 286-3147
Mailing address
475 E NORTHFIELD DR STE A, BROWNSBURG, IN 46112-2210
(317) 286-3147
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71004932A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000886131
ANTHEM
IN
05
—
201239020
—
IN
01
—
4676102
AETNA
IN
01
—
P01390851
MEDICARE RR PTAN
IN
01
—
P10751321
RR MEDICARE
IN
Enumeration date
06/25/2014
Last updated
07/01/2026
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