Organization · Type 2 NPI

Revive Psychiatry Services

Psychiatric/Mental Health Nurse Practitioner · Bridgeport, CT

NPI number 1831844877 Active

Practice location

130 Poplar St
Bridgeport, CT 06605-1925

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 1831844877

Revive Psychiatry Services's National Provider Identifier is 1831844877, issued on Feb 17, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bridgeport, CT. The record was last updated on Feb 17, 2022.