Revive Wellness and Beauty, LLC
NPI #1265230148 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1265230148
- Entity Type
- Organization
- Organization Name
- Revive Wellness and Beauty, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 5, 2025
- Last Updated
- Mar 5, 2025
Practice Location
- Address
- 10593 E AMERICAN PRIDE DR
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143-7978
- Phone
- (619) 201-0835
Authorized Official
- Name
- KRISTINA MCKINZIE, FNP-C
- Title
- OWNER
- Phone
- (619) 201-0835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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