REVIVE HEALTH AND WELLNESS PLLC NPI 1760721492

NPI Information

NPI: 1760721492
Provider Name: REVIVE HEALTH AND WELLNESS PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
5309 VILLAGE PKWY STE 3
ROGERS, AR
ZIP 72758
Phone: (479) 464-0840
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REVIVE HEALTH AND WELLNESS PLLC is a health service clinic center in Rogers, AR. REVIVE HEALTH AND WELLNESS PLLC NPI is 1760721492. The provider is registered as an organization entity type.

The provider's business location address is:

5309 VILLAGE PKWY STE 3
ROGERS, AR
ZIP 72758-102
Phone: (479) 464-0840

The provider's authorized official is Karla Cardon .
The authorized official title is Clinic Manager and has the following contact phone number (479) 464-0840.

The enumeration date for this NPI number is 1/31/2013 and was last updated on 2/7/2013.

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	261QH0100X	Clinic/Center	Health Service	E1940	ARKANSAS	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: 11/14/2023

NPI Synchronization or Removal

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