REVIVE OF COLORADO, PLLC is a nurse practitioner in Colorado Springs, CO. The provider is (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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. REVIVE OF COLORADO, PLLC NPI is 1609372838. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
218 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS, CO
ZIP 80906-720
Phone: (719) 396-3003
Fax: (719) 396-3003
The provider's authorized official is Deirdre Raquel Wolf .
The authorized official title is Ceo and has the following contact phone number (719) 396-3003.
The CLIA number assigned to this NPI record is 06D2148532 - other practitioner with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/5/2018 and was last updated on 4/5/2018.