Organization · Type 2 NPI
Revitalize Hydration Therapy, LLC
Gerontology Nurse Practitioner · Flowood, MS
NPI number
1285261123
Active
Practice location
885 Liberty Rd Ste 300
Flowood, MS 39232-9006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1285261123
Revitalize Hydration Therapy, LLC's National Provider Identifier is 1285261123, issued on Mar 23, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Flowood, MS. The record was last updated on Nov 10, 2020.