Provider Demographics
NPI:1528207115
Name:WALKER-MARSH, REGINA (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:
Last Name:WALKER-MARSH
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4533 S COUNTY TRL
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-3428
Mailing Address - Country:US
Mailing Address - Phone:401-364-1268
Mailing Address - Fax:401-364-6427
Practice Address - Street 1:4533 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02813-3428
Practice Address - Country:US
Practice Address - Phone:401-364-1268
Practice Address - Fax:401-364-6427
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI38694163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse