Organization · Type 2 NPI
Revive and Thrive Integrative Medicine LLC
Family Nurse Practitioner · Anna, OH
NPI number
1982556502
Active
Practice location
14074 Pasco Montra Rd
Anna, OH 45302-9708
Fax (888) 222-6607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1982556502
Revive and Thrive Integrative Medicine LLC's National Provider Identifier is 1982556502, issued on Feb 14, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Anna, OH. The record was last updated on Feb 14, 2026.