Provider Demographics
NPI:1326086042
Name:REGO, SHERI L (RD)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:L
Last Name:REGO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 MINERAL SPRING AVE.
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904
Mailing Address - Country:US
Mailing Address - Phone:401-305-6602
Mailing Address - Fax:401-305-6617
Practice Address - Street 1:WELLNESS RESOLUTIONS LLC
Practice Address - Street 2:1635 MINERAL SPRING AVE. SUITE 205
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904
Practice Address - Country:US
Practice Address - Phone:401-305-6602
Practice Address - Fax:401-305-6617
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4022133V00000X
OR10210789133V00000X
RILDN00518133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered