Organization · Type 2 NPI
Revitalize Health and Wellness LLC
Nurse Practitioner · Midwest City, OK
Practice location
2801 Parklawn Dr Ste 404
Midwest City, OK 73110-4211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | None listed |
| Nurse Practitioner Primary | 363L00000X | None 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…
2 other providers at this address
Other nurse practitioner providers in Midwest City
About NPI 1255125019
Revitalize Health and Wellness LLC's National Provider Identifier is 1255125019, issued on Apr 7, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Midwest City, OK. The record was last updated on Oct 12, 2026.