Organization · Type 2 NPI
Medizen Revitalize
Psychiatric/Mental Health Nurse Practitioner · Maize, KS
NPI number
1427905967
Active
Practice location
11407 W Sondra St
Maize, KS 67101-9014
Fax (763) 314-4990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Maize
About NPI 1427905967
Medizen Revitalize's National Provider Identifier is 1427905967, issued on Mar 13, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Maize, KS. The record was last updated on Mar 13, 2026.