Provider Demographics
NPI:1679676746
Name:SCUTTI, REGINA MARIE (RN APN C)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:MARIE
Last Name:SCUTTI
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Gender:F
Credentials:RN APN C
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Mailing Address - Street 1:32 WESTON ST
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2846
Mailing Address - Country:US
Mailing Address - Phone:973-284-1258
Mailing Address - Fax:
Practice Address - Street 1:111 CENTRAL AVE
Practice Address - Street 2:CARDIAC CATHETERIZATION LAB
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1909
Practice Address - Country:US
Practice Address - Phone:973-877-5154
Practice Address - Fax:973-877-2904
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2015-09-20
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN10807100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner