Healthcare Provider Details

I. General information

NPI: 1285544197
Provider Name (Legal Business Name): REGINA LOGA APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WI CARE CLINICAL LABS, 2200 VICTORY PKWY SUITE 501
CINCINNATI OH
45206-2815
US

IV. Provider business mailing address

WI CARE CLINICAL LABS, 2200 VICTORY PKWY SUITE 501
CINCINNATI OH
45206-2815
US

V. Phone/Fax

Practice location:
  • Phone: 513-322-4052
  • Fax: 513-279-9447
Mailing address:
  • Phone: 513-322-4052
  • Fax: 513-279-9447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4055011
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: