Organization · Type 2 NPI
Revivalife Health PLLC
Family Nurse Practitioner · Deland, FL
NPI number
1255130621
Active
Practice location
100 E New York Ave Ste 103
Deland, FL 32724-5576
Mailing address
100 E. New York Ave Ste 103, #1011
Deland, FL 32724-5576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Holistic Therapist LLCMental Health Clinic/Center (Including Community Mental Health Center) Deland, FL NPI 1528966033
- Mind Sanctuary Recovery & PsychiatryPsychiatric/Mental Health Nurse Practitioner Deland, FL NPI 1639016983
- Mary Mae Abigail Wilson, LCSWClinical Social Worker Deland, FL NPI 1952680860
- Maydelin JimenezMental Health Counselor Deland, FL NPI 1578993481
Other family nurse practitioner providers in Deland
About NPI 1255130621
Revivalife Health PLLC's National Provider Identifier is 1255130621, issued on Mar 10, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Deland, FL. The record was last updated on May 5, 2026.