Provider Demographics
NPI:1154802502
Name:CARDANO, REGINA M (CRNP)
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:M
Last Name:CARDANO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:REGINA
Other - Middle Name:M
Other - Last Name:URBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1650 HUNTINGDON PIKE STE 357
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8009
Mailing Address - Country:US
Mailing Address - Phone:215-938-1999
Mailing Address - Fax:215-938-1203
Practice Address - Street 1:1650 HUNTINGDON PIKE STE 357
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8009
Practice Address - Country:US
Practice Address - Phone:215-938-1999
Practice Address - Fax:215-938-1203
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018592363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology