Organization · Type 2 NPI

Revival Recovery Center Staffing LLC

Family Nurse Practitioner · Highland, MI

NPI number 1184398331 Active

Practice location

208 W Highland Rd Ste 102
Highland, MI 48357-4574

Fax (810) 775-0303

Other practice locations

  • 5797 Felske Dr Ste 300, Brighton, MI 48116-9505 · (833) 773-8482

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1184398331

Revival Recovery Center Staffing LLC's National Provider Identifier is 1184398331, issued on Aug 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Highland, MI. The record was last updated on May 5, 2025.