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NPI Code Detail

MEDICARE: REGEN WOUND SOLUTIONS LLC

MEDICARE: REGEN WOUND SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1003706524
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGEN WOUND SOLUTIONS LLC
Provider Business Mailing Address
First Line : 6272 SPRING MOUNTAIN RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-8876
Country : US
Telephone Number : 702-861-0254
Fax Number : 702-425-5540
Provider Business Practice Location Address
First Line : 6272 SPRING MOUNTAIN RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-8876
Country : US
Telephone Number : 702-861-0254
Fax Number : 702-425-5540
Authorized Official
Title or Position : PRESIDENT
Name : REX CHRISTOPHER ROBLEDO
Credential :
Telephone Number : 702-883-0850
Provider Enumeration Date : 07/07/2025
Last Update Date : 07/07/2025

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Directions to “REGEN WOUND SOLUTIONS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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