Provider Demographics
NPI:1598075194
Name:REGEHR, MARNA KAY (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARNA
Middle Name:KAY
Last Name:REGEHR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 OLD WATERFORD RD NW
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2116
Mailing Address - Country:US
Mailing Address - Phone:703-779-2801
Mailing Address - Fax:703-779-9733
Practice Address - Street 1:209 OLD WATERFORD RD NW
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2116
Practice Address - Country:US
Practice Address - Phone:703-779-2801
Practice Address - Fax:703-779-9733
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR092480363LF0000X
VA0024170032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily