NPI 1003530502

Revive Health LLC

Organisation Psychiatric/Mental Health Clinical Nurse Specialist Laurel, MD

Practice location

Address: 13715 Oaklands Manor Dr, Laurel, MD 20708-1430
Phone: (443) 945-8482

Authorised official

Name: Maria Tancho
Title: Ceo
Phone: (443) 945-8482

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X

Other Clinical Nurse Specialist providers in Maryland →

Registry record

NPI: 1003530502
Entity type: Organization
NPI issued: 28 Sep 2022
Record last updated: 28 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.