Individual
REGINA D PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
960 CAUGHLIN XING STE 100, RENO, NV 89519-0692
(775) 323-7828
(775) 348-5809
Mailing address
4790 CAUGHLIN PKWY STE 379, RENO, NV 89519-0907
(775) 323-7828
(775) 348-5809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA463
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952427734
—
NV
Enumeration date
03/22/2007
Last updated
03/17/2018
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