Organization · Type 2 NPI
Revive Mental Health Nursing Inc
Psychiatric/Mental Health Nurse Practitioner · Northridge, CA
NPI number
1619787504
Active
Practice location
16933 Parthenia St Ste 212
Northridge, CA 91343-4574
Other practice locations
- 18325 Sherman Way Ste B, Reseda, CA 91335-4425 · (818) 217-1212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Northridge
About NPI 1619787504
Revive Mental Health Nursing Inc's National Provider Identifier is 1619787504, issued on Jan 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Northridge, CA. The record was last updated on Jun 19, 2026.