Provider Demographics
NPI:1831492883
Name:SANDERS, REGINA KAY (BA)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:KAY
Last Name:SANDERS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 LINDELL RD STE D-182
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-1254
Mailing Address - Country:US
Mailing Address - Phone:702-949-7512
Mailing Address - Fax:702-943-0233
Practice Address - Street 1:3651 LINDELL RD STE D-182
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-1254
Practice Address - Country:US
Practice Address - Phone:702-949-7512
Practice Address - Fax:702-943-0233
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care