Provider Demographics
NPI:1144506866
Name:HANNA, REGINA MARIE (APN, CDE)
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:MARIE
Last Name:HANNA
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Gender:F
Credentials:APN, CDE
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Mailing Address - Street 1:400 WEST BLACKWELL STREET
Mailing Address - Street 2:SAINT CLARE'S HOSPITAL 3RD FLOOR
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-2525
Mailing Address - Country:US
Mailing Address - Phone:973-989-3613
Mailing Address - Fax:973-989-3040
Practice Address - Street 1:400 WEST BLACKWELL STREET
Practice Address - Street 2:SAINT CLARE'S HOSPITAL 3RD FLOOR
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-2525
Practice Address - Country:US
Practice Address - Phone:973-989-3613
Practice Address - Fax:973-989-3040
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
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Provider Licenses
StateLicense IDTaxonomies
NJ26NC07337900364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist