Provider Demographics
NPI:1922404037
Name:BEGALKA, REGINA (RN)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:BEGALKA
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 1:615 SNOW AVE
Mailing Address - Street 2:SPECIAL PROGRAMS
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3851
Mailing Address - Country:US
Mailing Address - Phone:509-967-6060
Mailing Address - Fax:509-943-0309
Practice Address - Street 1:615 SNOW AVE
Practice Address - Street 2:SPECIAL PROGRAMS
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3851
Practice Address - Country:US
Practice Address - Phone:509-967-6060
Practice Address - Fax:509-943-0309
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00072836163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool