Organization · Type 2 NPI
Revolution Wellness NP In Adult Health PLLC
Adult Health Nurse Practitioner · Farmingville, NY
NPI number
1235046392
Active
Practice location
296 S Bicycle Path
Farmingville, NY 11738-2124
Mailing address
121 Main St # 1007
Northport, NY 11768-1721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1235046392
Revolution Wellness NP In Adult Health PLLC's National Provider Identifier is 1235046392, issued on Aug 25, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Farmingville, NY. The record was last updated on Aug 25, 2026.