institution
Revival Llc
Psychiatric/Mental Health Nurse Practitioner in Bangor, Maine
NPI 1689444960

Revival Llc is a Psychiatric/Mental Health Nurse Practitioner based in Dover Foxcroft, ME and is specialized in Psychiatric/Mental Health. Revival Llc practices in Bangor, ME. The NPI Number for Revival Llc is 1689444960 and holds a License No. (Maine).

The current practice location address for Revival Llc is 139 State St Ste 2, Bangor, ME and can be reached out via phone at 207-843-9591.

Location: 139 State St Ste 2, Bangor, ME, 04426-3715
institution
Provider Profile Details
NPI Number
1689444960
Provider Name
Revival Llc
Credential
Provider Entity Type
Organization
Address
139 State St Ste 2, Bangor, ME, 04426-3715
Phone Number
207-843-9591
Fax Number
Provider Enumeration Date
01/08/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
139 State St Ste 2
City
State
Zip
04401-5317
Phone Number
207-843-9591
Fax Number
person
Provider Business Mailing Address Details
Address
139 State St Ste 2
City
State
Zip
04401-5317
Phone Number
207-843-9591
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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