Organization · Type 2 NPI

Revival LLC

Psychiatric/Mental Health Nurse Practitioner · Bangor, ME

NPI number 1689444960 Active

Practice location

139 State St Ste 2
Bangor, ME 04401-5317

Mailing address

51 Fletcher Rd
Dover Foxcroft, ME 04426-3715

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1689444960

Revival LLC's National Provider Identifier is 1689444960, issued on Jan 8, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bangor, ME. The record was last updated on Jan 8, 2024.