Provider Demographics
NPI:1205713195
Name:WILLIG, REGINA ELLEN (RN)
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:ELLEN
Last Name:WILLIG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1471 LINNEMAN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-1941
Mailing Address - Country:US
Mailing Address - Phone:513-347-0415
Mailing Address - Fax:
Practice Address - Street 1:5358 MANORTREE CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3615
Practice Address - Country:US
Practice Address - Phone:513-347-0415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN228206163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty