Van Gorden, Regina

Van Gorden, Regina is an sole proprietor health care provider with primary practice located at 403 N Grand Ave # 101 , Waukesha WI 53186-4984. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Van Gorden, Regina can be contacted via phone (262) 300-4948.

Contact Information

Primary practice address
403 N Grand Ave # 101 Waukesha WI 53186-4984
Phone: (262) 300-4948
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 151058-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 13738 Wisconsin

Profile Details

NPI number 1194950204
LBN Legal business name Van Gorden, Regina
Credentials R.N., APNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2009
Last updated Mar 7th, 2024 - about 8 months 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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