| Regenerise Health Llc | |
|
300 Church St Wallingford CT 06492-2253 | |
| (860) 994-7339 | |
| Not Available |
| Full Name | Regenerise Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 300 Church St, Wallingford, Connecticut |
| Authorized Official Name and Position | Authurine Hannam-davis (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 8609947339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerise Health Llc 300 Church St Ste 103 Wallingford CT 06492-2253 Ph: (860) 994-7339 | Regenerise Health Llc 300 Church St Wallingford CT 06492-2253 Ph: (860) 994-7339 |
| NPI Number | 1083317390 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 10/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083317390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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