Demas, Regina D.

Demas, Regina D. is an sole proprietor health care provider with primary practice located at 1900 W Esplanade Ave Suite 102, Kenner LA 70065-3463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Demas, Regina D. can be contacted via phone (504) 466-2289.

Contact Information

Primary practice address
1900 W Esplanade Ave Suite 102 Kenner LA 70065-3463
Phone: (504) 466-2289
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 02218 Louisiana

Profile Details

NPI number 1730223850
LBN Legal business name Demas, Regina D.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jan 18th, 2012 - about 13 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 1730223850 NPPES
Louisiana MEDICAID 1679038

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