Provider Demographics
NPI:1275559486
Name:RIEGER, REGINA D (CNM)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:D
Last Name:RIEGER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:880 KEMPSVILLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3931
Mailing Address - Country:US
Mailing Address - Phone:757-466-6350
Mailing Address - Fax:757-466-9262
Practice Address - Street 1:880 KEMPSVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3931
Practice Address - Country:US
Practice Address - Phone:757-466-6350
Practice Address - Fax:757-466-9262
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024189477367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife