Organization · Type 2 NPI

Thrive Revival DNP Nursing Inc

Nurse Practitioner · Thousand Oaks, CA

NPI number 1053221200 Active

Practice location

1000 Newbury Rd #210
Thousand Oaks, CA 91320

Fax (805) 269-8951

Mailing address

30700 Russell Ranch Rd Ste 250
Westlake Village, CA 91362-9507

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…

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About NPI 1053221200

Thrive Revival DNP Nursing Inc's National Provider Identifier is 1053221200, issued on Sep 10, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Sep 10, 2026.