Provider Demographics
NPI:1184690059
Name:WASHABAUGH, REGINA C (RN)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:C
Last Name:WASHABAUGH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:C
Other - Last Name:HIGHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:139 BETTY DR
Mailing Address - Street 2:
Mailing Address - City:PORT ST JOE
Mailing Address - State:FL
Mailing Address - Zip Code:32456-2412
Mailing Address - Country:US
Mailing Address - Phone:850-227-7340
Mailing Address - Fax:
Practice Address - Street 1:2475 GARRISON AVE
Practice Address - Street 2:
Practice Address - City:PORT ST JOE
Practice Address - State:FL
Practice Address - Zip Code:32456-5265
Practice Address - Country:US
Practice Address - Phone:850-227-1276
Practice Address - Fax:850-227-1766
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 2995992163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health