Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REGINA GANTT, CSFA
Active Sole ProprietorREGINA GANTT, CSFA is a Surgical Physician Assistant healthcare provider located in PERALTA, New Mexico. NPI 1396121505 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · PERALTA, NM
Registration Details
- NPI Number
- 1396121505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2015 (10.964917724547 yrs)
- Last Updated
- Jan 13, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
28 VALLE LINDO ROADPERALTA, NM, 87042Browse NM providers · Browse ZIP 87042
- Phone
- 5052805326
- Fax
- 5058485008
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.