Organization · Type 2 NPI
Revive Wellness NC
Primary Care Nurse Practitioner · Knightdale, NC
NPI number
1295664290
Active
Practice location
7633 Knightdale Blvd Ste 106B
Knightdale, NC 27545-9015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1295664290
Revive Wellness NC's National Provider Identifier is 1295664290, issued on May 15, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Knightdale, NC. The record was last updated on May 15, 2026.