Organization · Type 2 NPI
Revive Wellness and Beauty, LLC
Family Nurse Practitioner · San Tan Valley, AZ
NPI number
1265230148
Active
Practice location
10593 E American Pride Dr
San Tan Valley, AZ 85143-7978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1265230148
Revive Wellness and Beauty, LLC's National Provider Identifier is 1265230148, issued on Mar 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Mar 5, 2025.