Provider Demographics
NPI:1366453573
Name:SPRINGER, REGINA CATHERINE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:CATHERINE
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 ALLEN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4570
Mailing Address - Country:US
Mailing Address - Phone:802-775-7798
Mailing Address - Fax:
Practice Address - Street 1:71 ALLEN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4570
Practice Address - Country:US
Practice Address - Phone:802-775-7798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH560363AM0700X
VT055-0030924363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT9000236Medicaid
VT68870OtherBCBS
VT68870OtherBCBS
MS1330620OtherDEA
NHAP2488Medicare ID - Type Unspecified