Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regenerise Health LLC

Organization Clinic/Center · NPI 1083317390

Regenerise Health LLC is a Clinic/Center in Wallingford, Connecticut. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Church St
Wallingford, CT 06492-2253
Phone: (860) 994-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1083317390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Authurine Hannam-Davis — Family Nurse Practitioner · (860) 994-7339
Other names Regenerise Health Llc; Regenerise Health Llc
NPI enumeratedMarch 24, 2023
Last updated in NPPESOctober 20, 2024
Certification dateOctober 20, 2024
Mailing address300 Church St Ste 103, Wallingford, CT 06492-2253

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