Provider Demographics
NPI:1750520508
Name:REGNIER, CYNTHIA ELLEN (RN)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ELLEN
Last Name:REGNIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 18TH ST SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-5445
Mailing Address - Country:US
Mailing Address - Phone:507-285-0857
Mailing Address - Fax:
Practice Address - Street 1:1450 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-2113
Practice Address - Country:US
Practice Address - Phone:507-280-0193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR068971-9163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health