Organization · Type 2 NPI
Revive 3.2 Wellness Nursing PC
Family Nurse Practitioner · Northridge, CA
NPI number
1295693588
Active
Practice location
10328 Reseda Blvd
Northridge, CA 91326-3433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1295693588
Revive 3.2 Wellness Nursing PC's National Provider Identifier is 1295693588, issued on Jan 14, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Northridge, CA. The record was last updated on Jan 14, 2026.