Individual provider · Type 1 NPI

Regena Yvette Waller

Home Health Aide · Detroit, MI

NPI number 1073193686 Active

Practice location

11677 Mansfield St
Detroit, MI 48227-1170

Call (313) 918-5835 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide Primary 374U00000X112227 (MI)

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1073193686

Regena Yvette Waller's National Provider Identifier is 1073193686, issued on Apr 9, 2021. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 27, 2026.