REVELATION HEALTH & WELLNESS LLC NPI 1063072551

NPI Information

NPI: 1063072551
Provider Name: REVELATION HEALTH & WELLNESS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
249 OLSON DR STE 103
PAPILLION, NE
ZIP 68046
Phone: (712) 269-8177
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REVELATION HEALTH & WELLNESS LLC is a primary care clinic center in Papillion, NE. REVELATION HEALTH & WELLNESS LLC NPI is 1063072551. The provider is registered as an organization entity type.

The provider's business location address is:

249 OLSON DR STE 103
PAPILLION, NE
ZIP 68046-974
Phone: (712) 269-8177

The provider's authorized official is Brook Lapke .
The authorized official title is Office Manager and has the following contact phone number (402) 715-4855.

The enumeration date for this NPI number is 6/17/2019 and was last updated on 10/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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