Revive of Colorado, PLLC
Revive of Colorado, PLLC provides Nurse Practitioner services in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2018.
- Licensed in
- CO
- In the registry since
- 2018
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
218 E Cheyenne Mountain BlvdColorado Springs, CO 80906-3720
Phone: (719) 396-3003
Fax: (719) 396-3003
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence AG09170063 (CO) |
|---|
Record details
| NPI number | 1609372838 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deirdre Wolf — Ceo · (719) 396-3003 |
| NPI enumerated | April 5, 2018 |
| Last updated in NPPES | April 5, 2018 |
| Mailing address | 218 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3720 |
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