institution
Revive Wellness And Aesthetics
Family Nurse Practitioner in Eagle, Idaho
NPI 1548940752

Revive Wellness And Aesthetics is a Family Nurse Practitioner based in Boise, ID and is specialized in Family. Revive Wellness And Aesthetics practices in Eagle, ID. The NPI Number for Revive Wellness And Aesthetics is 1548940752 and holds a License No. (Idaho).

The current practice location address for Revive Wellness And Aesthetics is 445 S Fitness Pl # 130, Eagle, ID and can be reached out via phone at 208-939-2332.

Location: 445 S Fitness Pl # 130, Eagle, ID, 83703-3487
institution
Provider Profile Details
NPI Number
1548940752
Provider Name
Revive Wellness And Aesthetics
Credential
Provider Entity Type
Organization
Address
445 S Fitness Pl # 130, Eagle, ID, 83703-3487
Phone Number
208-939-2332
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
445 S Fitness Pl # 130
City
State
Zip
83616-6828
Phone Number
208-939-2332
Fax Number
person
Provider Business Mailing Address Details
Address
445 S Fitness Pl # 130
City
State
Zip
83616-6828
Phone Number
208-939-2332
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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