Provider Demographics
NPI:1467160101
Name:NKINEN, REGINA
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:NKINEN
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 1:5663 WINDCHIME WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-6653
Mailing Address - Country:US
Mailing Address - Phone:610-515-3988
Mailing Address - Fax:
Practice Address - Street 1:5663 WINDCHIME WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-6653
Practice Address - Country:US
Practice Address - Phone:610-515-3988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide