Organization · Type 2 NPI
Revolution Wellness
Primary Care Clinic/Center · Prairieville, LA
NPI number
1174411102
Active
Practice location
37283 Swamp Rd Ste 1102
Prairieville, LA 70769-3232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Prairieville
About NPI 1174411102
Revolution Wellness's National Provider Identifier is 1174411102, issued on Jun 26, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Prairieville, LA. The record was last updated on May 4, 2026.