Organization · Type 2 NPI

Revive Medical Care

Nurse Practitioner · Goodyear, AZ

NPI number 1710668496 Active

Practice location

239 N Litchfield Rd
Goodyear, AZ 85338-1249

Call (480) 549-8865 Map

Fax (520) 391-2936

Specialties and licenses

TaxonomyCodeLicense
Wound Care Registered Nurse 163WW0000XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed

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 1710668496

Revive Medical Care's National Provider Identifier is 1710668496, issued on Jul 26, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Goodyear, AZ. The record was last updated on Sep 22, 2026.