Individual
LINDA K REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1800 21ST AVENUE SOUTH, FARGO, ND 58103
(701) 365-8700
(701) 365-8701
Mailing address
1800 21ST AVENUE SOUTH, FARGO, ND 58103
(701) 365-8700
(701) 365-8701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0304
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117310
MEDICA #
ND
01
—
0117311
MEDICA #
ND
01
—
067G4RE
MNBS #
ND
01
—
067G5RE
MNBS #
ND
01
—
067G8RE
MNBS #
ND
01
—
137109
UCARE #
ND
01
—
2177217
AMERICA'S PPO/ARAZ #
ND
01
—
24238
NDBS #
ND
01
—
24316
NDBS #
ND
05
—
524187100
—
ND
01
—
DA9061041972
PREFERRED ONE #
ND
01
—
HP42750
HELATHPARTNERS #
ND
Enumeration date
06/03/2006
Last updated
07/11/2012
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