MS. JOHANNAH RUTH REVELLE CNIM R. EPT. NPI 1558793828

NPI Information

NPI: 1558793828
Provider Name: MS. JOHANNAH RUTH REVELLE, CNIM, R. EPT.
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Individual

Specialization: Electroneurodiagnostic

Address:
25 HIGHLAND PARK VLG
SUITE 100-225
DALLAS, TX
ZIP 75205
Phone: (214) 536-1647
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MS. Johannah Ruth Revelle, CNIM, R. EPT. is an electroneurodiagnostic specialist technologist other in Dallas, TX. MS. Johannah Ruth Revelle, CNIM, R. EPT. NPI is 1558793828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 HIGHLAND PARK VLG
SUITE 100-225
DALLAS, TX
ZIP 75205-789
Phone: (214) 536-1647
Fax: (972) 625-2884

The enumeration date for this NPI number is 8/8/2013 and was last updated on 9/24/2015.

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	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			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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