Organization · Type 2 NPI
Revive Family Care & Wellness LLC
Family Nurse Practitioner · Caddo Mills, TX
NPI number
1447001003
Active
Practice location
3667 County Road 2134 Ste C
Caddo Mills, TX 75135-6897
Fax (833) 973-3638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Courtney Patrick, NPFamily Nurse Practitioner Caddo Mills, TX NPI 1245152016
- Guiselle Berry, FNP-CFamily Nurse Practitioner Caddo Mills, TX NPI 1184362964
- Monica Booker, FNPNurse Practitioner Caddo Mills, TX NPI 1790581064
- Shannon Kelly Kennedy, FNP-CFamily Nurse Practitioner Caddo Mills, TX NPI 1457080228
About NPI 1447001003
Revive Family Care & Wellness LLC's National Provider Identifier is 1447001003, issued on Apr 1, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Caddo Mills, TX. The record was last updated on Jan 7, 2025.