Individual provider · Type 1 NPI

Larisa M. Revzina, FNP

Family Nurse Practitioner · Mountain View, CA

NPI number 1730299645 Active

Practice location

225 San Antonio Rd
Mountain View, CA 94040-1209

Fax (650) 948-3319

Mailing address

1631 Holt Ave
Los Altos, CA 94024-6929

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN555478 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1730299645

Larisa M. Revzina, FNP's National Provider Identifier is 1730299645, issued on Aug 30, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mountain View, CA. The record was last updated on Jul 8, 2007.