Provider Demographics
NPI:1750898169
Name:SEBASTIAN, REGITHA (FNP-BC,FNP-C,CCRN)
Entity type:Individual
Prefix:MS
First Name:REGITHA
Middle Name:
Last Name:SEBASTIAN
Suffix:
Gender:F
Credentials:FNP-BC,FNP-C,CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 LINTON BLVD, SUITE F 107
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445
Mailing Address - Country:US
Mailing Address - Phone:561-498-5660
Mailing Address - Fax:561-808-8858
Practice Address - Street 1:4800 LINTON BLVD, SUITE F 107
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445
Practice Address - Country:US
Practice Address - Phone:561-498-5660
Practice Address - Fax:561-808-8858
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9187624363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily