Organization · Type 2 NPI

Revive Health Center of Utah LLC

Licensed Practical Nurse · Layton, UT

NPI number 1184042236 Active

Practice location

3080 N Fairfield Rd, Suite 1
Layton, UT 84041-8694

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X1851542872 (UT)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

About NPI 1184042236

Revive Health Center of Utah LLC's National Provider Identifier is 1184042236, issued on Apr 4, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Layton, UT. The record was last updated on Apr 4, 2014.