Staup, Regina Fern

Staup, Regina Fern is an individual health care provider with primary practice located at 1 Wyoming St , Dayton OH 45409-2722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Staup, Regina Fern can be contacted via phone (937) 208-5748.

Contact Information

Primary practice address
1 Wyoming St Dayton OH 45409-2722
Phone: (937) 208-5748
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA14258-NP Ohio

Profile Details

NPI number 1962740829
LBN Legal business name Staup, Regina Fern
Credentials MS, APN, ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2013
Last updated Jun 27th, 2014 - about 12 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 1962740829 NPPES
Ohio MEDICAID 0095564

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