Individual provider · Type 1 NPI

Emily A. Revenson, PAC

Medical Physician Assistant · Richmond, VA

NPI number 1508026089 Active

Practice location

6600 W Broad St Ste 300
Richmond, VA 23230-1710

Call (804) 320-4243 Map

Fax (804) 622-0552

Mailing address

1000 Boulders Pkwy, Suite 102
Richmond, VA 23225-5545

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110002789 (VA)
Medical Physician Assistant Primary 363AM0700X0110002789 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1508026089

Emily A. Revenson, PAC's National Provider Identifier is 1508026089, issued on Jun 10, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Richmond, VA. The record was last updated on May 20, 2021.