O'Donnell, Regina Theresa

O'Donnell, Regina Theresa is an individual health care provider with primary practice located at 2222 S 17Th St , Wilmington NC 28401-7515. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. O'Donnell, Regina Theresa can be contacted via phone (910) 622-7491.

Contact Information

Primary practice address
2222 S 17Th St Wilmington NC 28401-7515
Phone: (910) 622-7491
Fax: (910) 796-7901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hospice 163WH1000X 110078 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 227328 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 327382 New York

Profile Details

NPI number 1750318309
LBN Legal business name O'Donnell, Regina Theresa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Sep 7th, 2023 - about 2 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 1750318309 NPPES
New York MEDICAID 01380583

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