Dahl, Regina L.

Dahl, Regina L. is an individual health care provider with primary practice located at 4015 Lake Otis Pkwy Suite 101, Anchorage AK 99508-5211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dahl, Regina L. can be contacted via phone (907) 375-5200.

Contact Information

Primary practice address
4015 Lake Otis Pkwy Suite 101 Anchorage AK 99508-5211
Fax: (907) 375-5201
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 694 Alaska

Profile Details

NPI number 1588653174
LBN Legal business name Dahl, Regina L.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jan 22nd, 2014 - about 11 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 1588653174 NPPES
Alaska MEDICAID NP0694

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