Humphrey, Regina Rae

Humphrey, Regina Rae is an individual health care provider with primary practice located at 910 N Davis #400, Arlington TX 76012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Humphrey, Regina Rae can be contacted via phone (817) 461-0199.

Contact Information

Primary practice address
910 N Davis #400 Arlington TX 76012
Phone: (817) 461-0199
Fax: (817) 460-2153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 502073 Texas

Profile Details

NPI number 1376509349
LBN Legal business name Humphrey, Regina Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376509349 NPPES
Other 81N157 BCBS

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