Organization · Type 2 NPI
Revitalized Family Care
Family Nurse Practitioner · Sonora, CA
NPI number
1508488750
Active
Practice location
673 Pauline Ct
Sonora, CA 95370-5216
Mailing address
4906 Webster Rd
Oakdale, CA 95361-7850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1508488750
Revitalized Family Care's National Provider Identifier is 1508488750, issued on May 11, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sonora, CA. The record was last updated on May 11, 2020.