Revive Nonprofit

NPI #1548059470 in Blue Ash, Ohio

Provider Information

NPI Number
1548059470
Entity Type
Organization
Organization Name
Revive Nonprofit
Primary Specialty
Health Maintenance Organization
Enumeration Date
May 6, 2025
Last Updated
May 6, 2025

Practice Location

Address
11427 REED HARTMAN HWY
State
Ohio
ZIP Code
45241-2418
Phone
(513) 549-1846

Authorized Official

Name
SANAA IRBY, NP
Title
NURSE PRACTITIONER
Phone
(513) 549-1846

Specialties & Taxonomy Codes

Specialty
Case Management
Health Maintenance Organization

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