Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | OT016469 | PA |
Y | 207VX0000X | Obstetrician | 0102205646 | VA |
NPI | 1053798504 |
---|---|
Provider Name | Anita Register |
First Address | Reading, PA 19612-3579 |
Second Address | Rocky Mount, VA 24151-1766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2015 |
Last Update Date | 23/11/2021 |