Organization · Type 2 NPI
Revitalize Wellness Center Inc
Psychiatric/Mental Health Nurse Practitioner · Fresno, CA
NPI number
1003637448
Active
Practice location
2501 W Shaw Ave Ste 113
Fresno, CA 93711-3307
Fax (539) 238-2199
Mailing address
5170 N Floyd Ave
Fresno, CA 93723-9435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1003637448
Revitalize Wellness Center Inc's National Provider Identifier is 1003637448, issued on Oct 18, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fresno, CA. The record was last updated on Apr 14, 2026.