Organization
REGENERISE HEALTH LLC
Active
Organization
REGENERISE HEALTH LLC
Active
Other names
REGENERISE HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AUTHURINE HANNAM-DAVIS NP (FAMILY NURSE PRACTITIONER)
(860) 994-7339
Entity
Organization
Contact information
Practice address
300 CHURCH ST, WALLINGFORD, CT 06492-2253
(860) 994-7339
Mailing address
300 CHURCH ST STE 103, WALLINGFORD, CT 06492-2253
(860) 994-7339
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/24/2023
Last updated
10/20/2024
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