Individual provider · Type 1 NPI

Tasha Revolus

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1083440440 Active · reactivated Aug 13, 2025

Practice location

555 S Floyd St
Louisville, KY 40202-3822

Call (502) 533-3990 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X1163808 (KY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083440440

Tasha Revolus's National Provider Identifier is 1083440440, issued on Sep 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Aug 13, 2025.