Organization · Type 2 NPI

Heartland Regeneration Group LLC

Nurse Practitioner · Lyndhurst, OH

NPI number 1801755152 Active

Practice location

5010 Mayfield Rd Ste 212
Lyndhurst, OH 44124-2692

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1801755152

Heartland Regeneration Group LLC's National Provider Identifier is 1801755152, issued on Jan 21, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lyndhurst, OH. The record was last updated on Jan 21, 2026.