Organization · Type 2 NPI
Revolution Longevity and Wellness LLC
Nurse Practitioner · Stratham, NH
Practice location
91 Portsmouth Ave
Stratham, NH 03885-2468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None 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…
About NPI 1932096674
Revolution Longevity and Wellness LLC's National Provider Identifier is 1932096674, issued on Jun 23, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stratham, NH. The record was last updated on Jun 23, 2025.