Organization · Type 2 NPI
Revive Health and Aesthetics, LLC
Family Nurse Practitioner · Elk City, OK
NPI number
1073469870
Active
Practice location
1900 W 2nd St Ste D
Elk City, OK 73644-4328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Elk City
About NPI 1073469870
Revive Health and Aesthetics, LLC's National Provider Identifier is 1073469870, issued on Mar 5, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elk City, OK. The record was last updated on Mar 5, 2026.