Provider Demographics
NPI:1437965183
Name:REGAN, TAYLOR (MS, RD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:REGAN
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-1143
Mailing Address - Country:US
Mailing Address - Phone:302-540-2404
Mailing Address - Fax:
Practice Address - Street 1:6 ROBIN DR
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-1143
Practice Address - Country:US
Practice Address - Phone:302-540-2404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered