Provider Demographics
NPI:1912308560
Name:REGALADO, NANCY LYNNE (MA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNNE
Last Name:REGALADO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:LYNNE
Other - Last Name:REGALADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:11059 E BETHANY DR # 80014
Mailing Address - Street 2:STE 200
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2622
Mailing Address - Country:US
Mailing Address - Phone:303-627-2041
Mailing Address - Fax:
Practice Address - Street 1:11059 E BETHANY DR # 80014
Practice Address - Street 2:STE 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2622
Practice Address - Country:US
Practice Address - Phone:303-627-2041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator