Regina Formentin

NURSE PRACTITIONER

6242 E Arbor Ave

Suite 111

Mesa, AZ 852061309

(602) 755-0800

**NPI:** 1700470275

**Med School:** OTHER

**Experience:** 5 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (1)

SUMMIT MEDICAL GROUP ARIZONA LLC

6242 E Arbor Ave, Suite 111
Mesa, AZ 852061309

Phone: (602) 755-0800

**Group ID:** 3173872835 | **Group Size:** 153 members

BANNER BAYWOOD MEDICAL CENTER Type: Hospital
6644 EAST BAYWOOD AVENUE
Phone: (480) 321-2000
Medicare CCN: 030088 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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