Organization · Type 2 NPI
Revive Hydration and Wellness LLC
Family Nurse Practitioner · Lake Charles, LA
NPI number
1346157658
Active
Practice location
4100 Canal Street, Unit 1
Lake Charles, LA 70605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1346157658
Revive Hydration and Wellness LLC's National Provider Identifier is 1346157658, issued on Aug 25, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 25, 2026.