Provider Demographics
NPI:1528748647
Name:HORIZON REGEN LTD
Entity type:Organization
Organization Name:HORIZON REGEN LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONA
Authorized Official - Middle Name:F
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-708-0996
Mailing Address - Street 1:1360 E NEVADA HIGHWAY 372 STE 5
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-2188
Mailing Address - Country:US
Mailing Address - Phone:702-708-0996
Mailing Address - Fax:
Practice Address - Street 1:1360 E NEVADA HIGHWAY 372 STE 5
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-2188
Practice Address - Country:US
Practice Address - Phone:775-990-1772
Practice Address - Fax:888-571-6236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty