Organization · Type 2 NPI
Revive Health Primary & Urgent Care LLC
Primary Care Nurse Practitioner · Elyria, OH
NPI number
1336004530
Active
Practice location
401 Cleveland St
Elyria, OH 44035-6143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1336004530
Revive Health Primary & Urgent Care LLC's National Provider Identifier is 1336004530, issued on Dec 19, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Elyria, OH. The record was last updated on Jul 22, 2026.