Provider Demographics
NPI:1770636375
Name:ENGEL, REGINA LYNNE (MSN, APRN-BC)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:LYNNE
Last Name:ENGEL
Suffix:
Gender:F
Credentials:MSN, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 DANA AVE., SUITE 410
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207-1327
Mailing Address - Country:US
Mailing Address - Phone:513-241-1811
Mailing Address - Fax:513-241-2112
Practice Address - Street 1:2135 DANA AVE STE 410
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1327
Practice Address - Country:US
Practice Address - Phone:513-241-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNS.04088364SP0809X
OH190301163WP0808X
OHRN1903012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2522747Medicaid
OH2522747Medicaid
P04698Medicare UPIN
OHNS02963Medicare PIN