Provider Demographics
NPI:1578702692
Name:BROWN, REGAN MENSCH (ANP)
Entity Type:Individual
Prefix:MRS
First Name:REGAN
Middle Name:MENSCH
Last Name:BROWN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CAPE COD DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4371
Mailing Address - Country:US
Mailing Address - Phone:919-467-4409
Mailing Address - Fax:
Practice Address - Street 1:10 SUNNYBROOK ROAD
Practice Address - Street 2:WOMENS HEALTH CLINIC
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27620-4049
Practice Address - Country:US
Practice Address - Phone:919-250-3920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC212695363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health