Revitalize Health and Wellness LLC
NPI #1255125019 in Choctaw, Oklahoma
Provider Information
- NPI Number
- 1255125019
- Entity Type
- Organization
- Organization Name
- Revitalize Health and Wellness LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Sep 5, 2025
Practice Location
Authorized Official
- Name
- BETHANY BIA
- Title
- PART OWNER
- Phone
- (918) 633-0622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Sleep Medicine — Sleep Medicine |
| Nurse Practitioner |
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