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REGENA YVETTE WALLER
NPI 1073193686
Home Health Aide in Detroit, MI

Active since April 09, 2021
11677 MANSFIELD ST, DETROIT, MI 48227(313) 918-5835 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regena Yvette Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENA YVETTE WALLER (NPI 1073193686) is an individual home health aide in Detroit, Michigan, licensed in Michigan (112227) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1073193686
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameREGENA YVETTE WALLER
Location Address11677 MANSFIELD STDetroit, MI 48227-1170
Mailing Address11677 Mansfield StDetroit, MI 48227-1170 · (313) 918-5835
Phone(313) 918-5835
Sole ProprietorYes
Enumeration DateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1073193686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in MI · 112227
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
11677 MANSFIELD ST, Detroit, MI 48227
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICA OUTREACH AGENCY
In Home Supportive Care
11677 MANSFIELD ST
DETROIT, MI 48227
Wayne County (313) 918-5835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regena Waller's NPI number?

The NPI number for Regena Waller is 1073193686. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Regena Waller located?

Regena Waller practices at 11677 Mansfield St, Detroit, MI 48227. The listed phone number is (313) 918-5835.

What is Regena Waller's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Regena Waller was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.