Revive Wellness and Aesthetics
NPI #1548940752 in Eagle, Idaho
Provider Information
- NPI Number
- 1548940752
- Entity Type
- Organization
- Organization Name
- Revive Wellness and Aesthetics
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 21, 2023
- Last Updated
- Jul 21, 2023
Practice Location
Authorized Official
- Name
- KELSEY MARTIN, DNP, FNP-C
- Title
- OWNER/NURSE PRACTITIONER
- Phone
- (217) 617-2575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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