Provider Demographics
NPI:1396638524
Name:SPERRY, REGINA L
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:L
Last Name:SPERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37588 STATE ROUTE 324
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45634-8913
Mailing Address - Country:US
Mailing Address - Phone:740-577-1762
Mailing Address - Fax:
Practice Address - Street 1:37588 STATE ROUTE 324
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45634-8913
Practice Address - Country:US
Practice Address - Phone:740-577-1762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker