Organization · Type 2 NPI
Revivify Wound Care and Soft Tissue Specialty
Nurse Practitioner · Las Vegas, NV
Practice location
4533 Merkel Bluff St
Las Vegas, NV 89147-5128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1497637342
Revivify Wound Care and Soft Tissue Specialty's National Provider Identifier is 1497637342, issued on Jul 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 22, 2025.