Provider Demographics
NPI:1588698153
Name:CRONIN, REGINA (NP)
Entity type:Individual
Prefix:MS
First Name:REGINA
Middle Name:
Last Name:CRONIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:REGINA
Other - Middle Name:CRONIN
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8 ROBBINS RD
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-1912
Mailing Address - Country:US
Mailing Address - Phone:508-668-5332
Mailing Address - Fax:
Practice Address - Street 1:2014 WASHINGTON ST
Practice Address - Street 2:NEWTON-WELLESLEY HOSPITAL
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1607
Practice Address - Country:US
Practice Address - Phone:617-243-6168
Practice Address - Fax:617-243-6143
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA118394363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health