Organization · Type 2 NPI
Revive Wellness L.l.c.
Adult Health Nurse Practitioner · Louisville, KY
NPI number
1487421673
Active
Practice location
8302 Nottingham Pkwy
Louisville, KY 40222-5540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | None listed |
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1487421673
Revive Wellness L.l.c.'s National Provider Identifier is 1487421673, issued on Dec 7, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Louisville, KY. The record was last updated on Dec 7, 2023.