Provider Demographics
NPI:1487057717
Name:SPENCER-SIKANDAR, REGINA NICOLE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:NICOLE
Last Name:SPENCER-SIKANDAR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:REGINA
Other - Middle Name:NICOLE
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:3651 LINDELL RD # D1089
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-1254
Mailing Address - Country:US
Mailing Address - Phone:702-625-8780
Mailing Address - Fax:
Practice Address - Street 1:3651 LINDELL RD # D1089
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-1254
Practice Address - Country:US
Practice Address - Phone:702-625-8780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201909162NPPP363LP0808X
WAAP60793671363LP0808X
NV832131363LP0808X
AZ285004363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health