institution
Revive Center For Health & Wellness, Pllc
Family Nurse Practitioner in Vernon, Connecticut
NPI 1548917594

Revive Center For Health & Wellness, Pllc is a Family Nurse Practitioner based in Vernon, CT and is specialized in Family. Revive Center For Health & Wellness, Pllc practices in Vernon, CT. The NPI Number for Revive Center For Health & Wellness, Pllc is 1548917594 and holds a License No. (Connecticut).

The current practice location address for Revive Center For Health & Wellness, Pllc is 281 Hartford Tpke Ste 106, Vernon, CT and can be reached out via phone at 860-375-2227 and via fax at 860-603-5080.

Location: 281 Hartford Tpke Ste 106, Vernon, CT, 06066-4760
institution
Provider Profile Details
NPI Number
1548917594
Provider Name
Revive Center For Health & Wellness, Pllc
Credential
Provider Entity Type
Organization
Address
281 Hartford Tpke Ste 106, Vernon, CT, 06066-4760
Phone Number
860-375-2227
Fax Number
860-603-5080
Provider Enumeration Date
03/09/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134661531 05 CT
institution
Provider Business Practice Location Address Details
Address
281 Hartford Tpke Ste 106
City
State
Zip
06066-4760
Phone Number
860-375-2227
Fax Number
860-603-5080
person
Provider Business Mailing Address Details
Address
281 Hartford Tpke Ste 106
City
State
Zip
06066-4760
Phone Number
860-375-2227
Fax Number
860-603-5080
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
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Definition
Definition to come...
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