Provider Demographics
NPI:1124366976
Name:NEGRIN, REGINA
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:NEGRIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 THOMAS JEFFERSON ST NW
Mailing Address - Street 2:180G
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-5201
Mailing Address - Country:US
Mailing Address - Phone:202-299-1109
Mailing Address - Fax:
Practice Address - Street 1:1025 THOMAS JEFFERSON ST NW
Practice Address - Street 2:180G
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-5201
Practice Address - Country:US
Practice Address - Phone:202-299-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide