Organization · Type 2 NPI

Reviving Wellness LLC

Adult Health Nurse Practitioner · Gilbert, AZ

NPI number 1053159996 Active

Practice location

3336 E Chandler Heights Rd Ste 123
Gilbert, AZ 85298-4263

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNone listed

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1053159996

Reviving Wellness LLC's National Provider Identifier is 1053159996, issued on Jul 16, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Gilbert, AZ. The record was last updated on Aug 23, 2024.