Organization · Type 2 NPI

Revive Aesthetics & Wellness

Nurse Practitioner · Virginia Beach, VA

NPI number 1144902180 Active

Practice location

1617 Laskin Road Unit 774B, Suite 136
Virginia Beach, VA 23451

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 1144902180

Revive Aesthetics & Wellness's National Provider Identifier is 1144902180, issued on Aug 1, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Aug 1, 2023.