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Contact Information

REGENERISE HEALTH LLC
300 CHURCH ST
WALLINGFORD, CT06492-2253
 Phone: 860-994-7339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REGENERISE HEALTH LLC

NPI Number 1083317390
LBN Legal business name REGENERISE HEALTH LLC
Authorized official AUTHURINE HANNAM-DAVIS - (FAMILY NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2023
Last updated 10/20/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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