Perry, Regina Dolores

Perry, Regina Dolores is an individual health care provider with primary practice located at 2205 W Lincoln Ave , Yakima WA 98902-2437. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Perry, Regina Dolores can be contacted via phone (509) 469-6305.

Contact Information

Primary practice address
2205 W Lincoln Ave Yakima WA 98902-2437
Phone: (509) 469-6305
Fax: (509) 575-3398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN61452346 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 11016556 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61452375 Washington

Profile Details

NPI number 1255085452
LBN Legal business name Perry, Regina Dolores
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2022
Last updated Aug 24th, 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 1255085452 NPPES
Florida MEDICAID 113307200

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