REGENERISE HEALTH LLC, Family WALLINGFORD, CT

Contact Information

REGENERISE HEALTH LLC

300 CHURCH ST
WALLINGFORD, CT 06492-2253

Phone: 860-994-7339
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Clinic/Center	261Q00000X
Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for REGENERISE HEALTH LLC · (Female)

NPI #	`1083317390`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/24/2023
Last updated	10/20/2024 - More than a year ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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