Revive Wellness And Aesthetics Valid NPI
Organization · Family Nurse Practitioner · Eagle, ID
- NPI
- 1548940752
- Type
- Organization (Type 2)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- Enumerated
- 2023-07-21
- Last updated
- 2023-07-21
Practice location
445 S Fitness Pl # 130
Eagle, ID 83616-6828
(208) 939-2332