Organization · Type 2 NPI

Revital Glow Aesthetics & Wellness

Nurse Practitioner · Rocklin, CA

NPI number 1851214548 Active

Practice location

6810 Five Star Blvd Ste 300
Rocklin, CA 95677-2698

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone 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 1851214548

Revital Glow Aesthetics & Wellness's National Provider Identifier is 1851214548, issued on Jul 31, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rocklin, CA. The record was last updated on Jul 31, 2026.