Individual
SARA REGEZI MAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10110 MOLECULAR DR, SUITE 206, ROCKVILLE, MD 20850-7539
(301) 279-2779
(240) 403-0190
Mailing address
10110 MOLECULAR DR, SUITE 206, ROCKVILLE, MD 20850-7539
(301) 279-2779
(240) 403-0190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R202979
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
697440600
—
MD
Enumeration date
09/24/2013
Last updated
01/10/2018
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