Organization · Type 2 NPI
Revive Psychiatry, PLLC
Psychiatric/Mental Health Nurse Practitioner · Durant, OK
NPI number
1699647701
Active
Practice location
720 Bryan Dr Ste C
Durant, OK 74701-7032
Fax (580) 359-0468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1699647701
Revive Psychiatry, PLLC's National Provider Identifier is 1699647701, issued on Sep 18, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Durant, OK. The record was last updated on Sep 26, 2025.