Individual provider · Type 1 NPI

Sandra Revak, FNP

Nurse Practitioner · Sewell, NJ

NPI number 1508221870 Active

Practice location

239 Hurffville Crosskeys Rd, Suite 160
Sewell, NJ 08080-4002

Fax (856) 341-8212

Mailing address

239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005

Other practice locations

  • 315 Route 70 E, Cherry Hill, NJ 08034-2408 · (856) 375-6240
  • 128 Route 70 Ste 1, Medford, NJ 08055-2371 · (609) 367-0900
  • 555 High St Ste 16A, Mount Holly, NJ 08060-1084 · (609) 444-5610
  • 158 Route 73 Ste B, Voorhees, NJ 08043-9539 · (856) 247-7230
  • 141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615 · (856) 291-8600
  • 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108-3642 · (856) 946-5180
  • 401 Young Ave Ste 180 Front, Moorestown, NJ 08057-3139 · (856) 291-8600

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00629600 (NJ)
Registered Nurse 163W00000X26NR15492200 (NJ)

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…

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About NPI 1508221870

Sandra Revak, FNP's National Provider Identifier is 1508221870, issued on Dec 30, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sewell, NJ. The record was last updated on Jan 6, 2025.