Provider Demographics
NPI:1710666094
Name:REGEL, NICHOLAS SEAN (PA)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:SEAN
Last Name:REGEL
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:NICK
Other - Middle Name:SEAN
Other - Last Name:REGEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:5306 FIELDCREST DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-1708
Mailing Address - Country:US
Mailing Address - Phone:412-527-9198
Mailing Address - Fax:
Practice Address - Street 1:17068 CHARLES M LANKFORD JR MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:EASTVILLE
Practice Address - State:VA
Practice Address - Zip Code:23347
Practice Address - Country:US
Practice Address - Phone:757-331-1086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant