Organization · Type 2 NPI
Revision Wellness, LLC
Clinic/Center · Berlin, MD
NPI number
1497390702
Active
Practice location
11312 Manklin Creek Rd Unit 5
Berlin, MD 21811-4009
Fax (888) 307-9020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | None listed |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | None listed |
| Public Health & General Preventive Medicine Physician | 2083P0901X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1497390702
Revision Wellness, LLC's National Provider Identifier is 1497390702, issued on Nov 11, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Berlin, MD. The record was last updated on Jun 22, 2026.