| NPI | 1790402600 |
|---|---|
| Former Legal Business Name | REGIMEN PEDIATRIC HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | SHENEKA ANNETTE MCNICHOLS Owner 205-826-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2023-08-02 |