Gantt, Regina

Gantt, Regina is an sole proprietor health care provider with primary practice located at 28 Valle Lindo Road , Peralta NM 87042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gantt, Regina can be contacted via phone (505) 280-5326.

Contact Information

Primary practice address
28 Valle Lindo Road Peralta NM 87042
Phone: (505) 280-5326
Fax: (505) 848-5008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1396121505
LBN Legal business name Gantt, Regina
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2015
Last updated Jan 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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