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Breanna Regguinti
Family Nurse Practitioner in Morton, Illinois
NPI 1871002048

Breanna Regguinti is a Family Nurse Practitioner based in Morton, IL and is specialized in Family. Breanna Regguinti practices in Morton, IL. The NPI Number for Breanna Regguinti is 1871002048 and holds a License No. 209016598 (Illinois).

The current practice location address for Breanna Regguinti is 621 W Jackson St, Morton, IL and can be reached out via phone at 309-263-4343.

Location: 621 W Jackson St, Morton, IL, 61550-1535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871002048
Provider Name
Breanna Regguinti
Credential
Provider Entity Type
Individual
Gender
Female
Address
621 W Jackson St, Morton, IL, 61550-1535
Phone Number
309-263-4343
Fax Number
Provider Enumeration Date
09/20/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209016598 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
621 W Jackson St
City
Morton
State
Illinois
Zip
61550-1535
Phone Number
309-263-4343
Fax Number
person
Provider Business Mailing Address Details
Address
621 W Jackson St
City
Morton
State
Illinois
Zip
61550-1535
Phone Number
309-263-4343
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209016598 (Illinois)
Definition
Definition to come...
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