Revision Wellness, Llc is a Family Nurse Practitioner based in Berlin, MD and is specialized in Family. Revision Wellness, Llc practices in Berlin, MD. The NPI Number for Revision Wellness, Llc is 1497390702 and holds a License No. (Maryland).
The current practice location address for Revision Wellness, Llc is 11312 Manklin Creek Rd Unit 5, Berlin, MD and can be reached out via phone at 443-513-5000 and via fax at 888-307-9020.
Location: 11312 Manklin Creek Rd Unit 5, Berlin, MD, 21811-4009
Provider Profile Details
NPI Number
1497390702
Provider Name
Revision Wellness, Llc
Credential
Provider Entity Type
Organization
Address
11312 Manklin Creek Rd Unit 5, Berlin, MD, 21811-4009
Phone Number
443-513-5000
Fax Number
888-307-9020
Provider Enumeration Date
11/11/2019
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457683740 | 01 | MD | INDIVIDUAL NPI ASSOCIATED WITH REVISION WELLNESS |
| 722026000 | 05 | MD | |
| 1497390702 | 01 | MD | GROUP NPI |
Provider Business Practice Location Address Details
Address
11312 Manklin Creek Rd Unit 5
City
State
Zip
21811-4009
Phone Number
443-513-5000
Fax Number
888-307-9020
Provider Business Mailing Address Details
Address
11312 Manklin Creek Rd Unit 5
City
State
Zip
21811-4009
Phone Number
443-513-5000
Fax Number
888-307-9020
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
()
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Obesity Medicine
Taxonomy
License No.
()
Definition
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Public Health & General Preventive Medicine
Taxonomy
License No.
()
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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