Provider Demographics
NPI:1760343792
Name:ETERNA HEALTH: AESTHETIC AND REGENERATIVE MEDICINE
Entity type:Organization
Organization Name:ETERNA HEALTH: AESTHETIC AND REGENERATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NP
Authorized Official - Prefix:
Authorized Official - First Name:SAIJE
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP/FNP-C
Authorized Official - Phone:307-751-3517
Mailing Address - Street 1:304 COFFEEN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-4803
Mailing Address - Country:US
Mailing Address - Phone:307-429-0746
Mailing Address - Fax:855-719-2542
Practice Address - Street 1:304 COFFEEN AVE STE B
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-4803
Practice Address - Country:US
Practice Address - Phone:307-429-0746
Practice Address - Fax:855-719-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care