Active NPIIndividual provider

Dr. Regina Willard, APN

Nurse Practitioner, Acute Care in Fanwood, New Jersey

NPI Number1184792855
Practice location
313 South Ave, Fanwood, NJ 07023-1364
Fax
—
Last updated
December 8, 2021

Regina Willard is a Nurse Practitioner, Acute Care based in Fanwood, NJ. Regina Willard practices in Fanwood, NJ and has the professional credentials of APN. The NPI Number for Regina Willard is 1184792855 and holds a License No. 26NJ00139500 (NJ). The current practice location address for Regina Willard is 313 South Ave, Fanwood, NJ 07023-1364 and can be reached out via phone at 908-889-1900.

Provider Profile Details

NPI Number
1184792855
Provider Name
Regina Willard
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
313 South Ave, Fanwood, NJ 07023-1364
Phone Number
908-889-1900
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2006
Last Update Date
December 8, 2021
Certification Date
December 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
313 South Ave
Fanwood, NJ 07023-1364
Zip
07023-1364
Phone Number
908-889-1900
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
75 Lawrence RD
Randolph, NJ 07869-3100
City
Randolph
State
NJ
Zip
07869-3100
Phone Number
201-704-3486

License Information

License Number
26NJ00139500
License State
NJ
Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Regina Willard, APN?

The NPI number of Dr. Regina Willard, APN is 1184792855. It was assigned on December 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Regina Willard, APN?

Dr. Regina Willard, APN is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in NJ under license number 26NJ00139500.

Where does Dr. Regina Willard, APN practice?

The practice location is 313 South Ave, Fanwood, NJ 07023-1364. The office can be reached at 908-889-1900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184792855 directly on the NPPES registry website.

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