Provider Demographics
NPI:1700697398
Name:DEWSNAP, REGINA
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:
Last Name:DEWSNAP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08629-2621
Mailing Address - Country:US
Mailing Address - Phone:640-529-4808
Mailing Address - Fax:
Practice Address - Street 1:239 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08629-2621
Practice Address - Country:US
Practice Address - Phone:640-529-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
NJ374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoula