MEDICARE: REGINA D RIEGER CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	0024189477	VA

General Provider Information

NPI Number	:	1275559486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA D RIEGER CNM

Provider Business Mailing Address
First Line	:	880 KEMPSVILLE RD STE 101
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-3931
Country	:	US
Telephone Number	:	757-466-6350
Fax Number	:	757-466-9262

Provider Business Practice Location Address
First Line	:	880 KEMPSVILLE RD STE 101
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-3931
Country	:	US
Telephone Number	:	757-466-6350
Fax Number	:	757-466-9262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	03/25/2024

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