Provider Demographics
NPI:1851916928
Name:REGNIER, KAREN PATRICIA (RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:PATRICIA
Last Name:REGNIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 DURAN CT
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60431-7509
Mailing Address - Country:US
Mailing Address - Phone:260-438-3724
Mailing Address - Fax:
Practice Address - Street 1:1022 DURAN CT
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60431-7509
Practice Address - Country:US
Practice Address - Phone:260-438-3724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-14
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041493320163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse