institution
Revitalized Wellness Pllc
Primary Care Nurse Practitioner in Sioux Falls, South Dakota
NPI 1760093025

Revitalized Wellness Pllc is a Primary Care Nurse Practitioner based in Sioux Falls, SD and is specialized in Primary Care. Revitalized Wellness Pllc practices in Sioux Falls, SD. The NPI Number for Revitalized Wellness Pllc is 1760093025 and holds a License No. (South Dakota).

The current practice location address for Revitalized Wellness Pllc is 326 E 8Th St Apt 206, Sioux Falls, SD and can be reached out via phone at 605-423-7557 and via fax at 605-305-1175. You can also correspond with Revitalized Wellness Pllc through the mailing address at 401 E 8TH ST STE 214-7054, SIOUX FALLS, SD - 57103-7011 (mailing address contact number: 605-423-7557).

Location: 326 E 8Th St Apt 206, Sioux Falls, SD, 57103-7011
institution
Provider Profile Details
NPI Number
1760093025
Provider Name
Revitalized Wellness Pllc
Credential
Provider Entity Type
Organization
Address
326 E 8Th St Apt 206, Sioux Falls, SD, 57103-7011
Phone Number
605-423-7557
Fax Number
605-305-1175
Provider Enumeration Date
08/11/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
326 E 8Th St Apt 206
City
State
Zip
57103-7038
Phone Number
605-423-7557
Fax Number
605-305-1175
person
Provider Business Mailing Address Details
Address
326 E 8Th St Apt 206
City
State
Zip
57103-7038
Phone Number
605-423-7557
Fax Number
605-305-1175
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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