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

Revivify Wound Care and Soft Tissue Specialty

Organization Nurse Practitioner · NPI 1497637342

Revivify Wound Care and Soft Tissue Specialty provides Nurse Practitioner services in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4533 Merkel Bluff St
Las Vegas, NV 89147-5128
Phone: (702) 886-2269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1497637342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Gutierrez — Manager · (702) 886-2269
NPI enumeratedJuly 22, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address4533 Merkel Bluff St, Las Vegas, NV 89147-5128

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