Organization · Type 2 NPI

Revital Health and Wellness Clinics PLLC

Primary Care Nurse Practitioner · Smyrna, TN

NPI number 1902378581 Active

Practice location

695 President Pl Ste 200
Smyrna, TN 37167-5681

Fax (615) 768-5583

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1902378581

Revital Health and Wellness Clinics PLLC's National Provider Identifier is 1902378581, issued on Dec 20, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Smyrna, TN. The record was last updated on Dec 20, 2018.