REVIVE HEALTH LLC NPI 1003530502

NPI Information

NPI: 1003530502
Provider Name: REVIVE HEALTH LLC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
13715 OAKLANDS MANOR DR
LAUREL, MD
ZIP 20708
Phone: (443) 945-8482
Get Directions

REVIVE HEALTH LLC is a psychiatric/mental health clinical nurse specialist in Laurel, MD. REVIVE HEALTH LLC NPI is 1003530502. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13715 OAKLANDS MANOR DR
LAUREL, MD
ZIP 20708-430
Phone: (443) 945-8482

The provider's authorized official is Maria Tancho .
The authorized official title is Ceo and has the following contact phone number (443) 945-8482.

The enumeration date for this NPI number is 9/28/2022 and was last updated on 9/28/2022.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health			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: 5/5/2024

NPI Synchronization or Removal

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