Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Wellness and Beauty, LLC

Organization Family Nurse Practitioner · NPI 1265230148

Revive Wellness and Beauty, LLC provides Family Nurse Practitioner services in San Tan Valley, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10593 E American Pride Dr
San Tan Valley, AZ 85143-7978
Phone: (619) 201-0835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1265230148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina McKinzie — Owner · (619) 201-0835
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address10593 E American Pride Dr, San Tan Valley, AZ 85143-7978

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