Healthcare Provider Details

I. General information

NPI: 1619604576
Provider Name (Legal Business Name): REGAN CHRISTINE MORAN AGPCNP-BC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 DUKE MEDICINE CIR
DURHAM NC
27710-2000
US

IV. Provider business mailing address

420 DELVIN LN
HILLSBOROUGH NC
27278-8838
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-6608
  • Fax:
Mailing address:
  • Phone: 919-695-5119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5016633
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: