REVITALIZE IV HYDRATION AND WELLNESS CLINC LLC

NPI # 

Practice Address:

2704 Phillips Dr Ste A

Jonesboro, AR, 72401-7399

Practice Phone:

870-955-5701

Practice Fax:

302-209-5619

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 12/4/2023. You can view the original data set for NPI # 1871369272 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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REVITALIZE IV HYDRATION AND WELLNESS CLINC LLC's

CMS CPT® coding data

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