Provider Demographics
NPI:1376835348
Name:ARMSTRONG, REGINA (STNA STATED TESTED N)
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:STNA STATED TESTED N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13624 S. PARKWAY
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS.
Mailing Address - State:OH
Mailing Address - Zip Code:44105
Mailing Address - Country:US
Mailing Address - Phone:216-365-3429
Mailing Address - Fax:
Practice Address - Street 1:13624 S. PARKWAY
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS.
Practice Address - State:OH
Practice Address - Zip Code:44105
Practice Address - Country:US
Practice Address - Phone:216-365-3429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400124150602374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide