Individual provider · Type 1 NPI

Juan Carlos Revelli, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Elmhurst, NY

NPI number 1336833144 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Fax (718) 334-5006

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X403827 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1336833144

Juan Carlos Revelli, NURSE PRACTITIONER's National Provider Identifier is 1336833144, issued on Jun 5, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Elmhurst, NY. The record was last updated on Jun 9, 2023.