Healthcare Provider Details

I. General information

NPI: 1487057717
Provider Name (Legal Business Name): REGINA NICOLE SPENCER-SIKANDAR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REGINA NICOLE SPENCER ARNP

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16444 N 91ST ST BLDG H
SCOTTSDALE AZ
85260-1567
US

IV. Provider business mailing address

PO BOX 370627
LAS VEGAS NV
89137-0627
US

V. Phone/Fax

Practice location:
  • Phone: 725-308-6867
  • Fax:
Mailing address:
  • Phone: 725-625-8780
  • Fax: 702-505-4544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11022654
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60793671
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number285004
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number832131
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201909162NPPP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: