Organization · Type 2 NPI
Revival Psychiatry
Psychiatric/Mental Health Nurse Practitioner · Athens, AL
NPI number
1073285987
Active
Practice location
15884 E Limestone Rd
Athens, AL 35613-7522
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
About NPI 1073285987
Revival Psychiatry's National Provider Identifier is 1073285987, issued on Sep 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Athens, AL. The record was last updated on Sep 29, 2021.