Provider Demographics
NPI:1780917500
Name:WELLS ROZZI, REGINA ELIZABETH (ARNP)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:ELIZABETH
Last Name:WELLS ROZZI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 W CENTRAL AVE STE 230
Mailing Address - Street 2:HEARTLAND CARE PARTNERS
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1417
Mailing Address - Country:US
Mailing Address - Phone:800-375-5495
Mailing Address - Fax:800-564-5952
Practice Address - Street 1:2851 TAMPA RD
Practice Address - Street 2:HEARTLAND CARE PARTNERS / MCHS PALM HARBOR
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3314
Practice Address - Country:US
Practice Address - Phone:800-375-5495
Practice Address - Fax:800-564-5952
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2162612363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP2162612OtherARNP FLORIDA LICENSE