Provider Demographics
NPI:1154102432
Name:ASKEW-GIBBS, REGINA BERNICE
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:BERNICE
Last Name:ASKEW-GIBBS
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 1:10555 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-4021
Mailing Address - Country:US
Mailing Address - Phone:130-184-8187
Mailing Address - Fax:
Practice Address - Street 1:10555 CHARLES ST
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-4021
Practice Address - Country:US
Practice Address - Phone:130-184-8187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR167709163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse