Individual provider · Type 1 NPI

Karen M. Revitte, NP

Nurse Practitioner · Kentwood, MI

NPI number 1598021487 Active

Practice location

4600 Breton Rd SE, Suite 102
Kentwood, MI 49508-5262

Fax (616) 391-9707

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704207782 (MI)

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 1598021487

Karen M. Revitte, NP's National Provider Identifier is 1598021487, issued on Apr 5, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kentwood, MI. The record was last updated on Feb 22, 2021.