| Doctor Name: | REGINE NSHIMIYIMANA |
| NPI Number: | 1033511191 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 26NJ00520100 |
| Business Practice Address: | 333 North Ave Apt 28a Secane, PA - 190183534 |
| Business Phone Number: | 4844783028 |
| Business Fax Number: | |
| Mailing Address: | 333 North Ave, Apt 28a SECANE |
| State: | PA |
| Postal Code: | 190183534 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2014 |
| NPI Last Update Date: | 09/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00520100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |