Provider Demographics
NPI:1366312902
Name:REGANYAN, ERIKA (FNP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:REGANYAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11120 SW 33RD LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1380
Mailing Address - Country:US
Mailing Address - Phone:818-325-7641
Mailing Address - Fax:
Practice Address - Street 1:11120 SW 33RD LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1380
Practice Address - Country:US
Practice Address - Phone:818-325-7641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11043359363LF0000X
CA95037273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily