Organization · Type 2 NPI

Revivify Biologics

Nurse Practitioner · Grapevine, TX

NPI number 1952815466 Active

Practice location

4100 Heritage Ave
Grapevine, TX 76051-5714

Mailing address

62 Main St Ste 110
Colleyville, TX 76034-2931

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…

7 other providers at this address

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About NPI 1952815466

Revivify Biologics's National Provider Identifier is 1952815466, issued on Nov 20, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grapevine, TX. The record was last updated on Nov 20, 2017.