Healthcare Provider Details

I. General information

NPI: 1326086042
Provider Name (Legal Business Name): SHERI L REGO RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WELLNESS RESOLUTIONS LLC 1635 MINERAL SPRING AVE. SUITE 205
NORTH PROVIDENCE RI
02904
US

IV. Provider business mailing address

1635 MINERAL SPRING AVE. SUITE 205
NORTH PROVIDENCE RI
02904
US

V. Phone/Fax

Practice location:
  • Phone: 401-305-6602
  • Fax: 401-305-6617
Mailing address:
  • Phone: 401-305-6602
  • Fax: 401-305-6617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number4022
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number10210789
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN00518
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: