REVITALIZE WELLNESS CENTER INC NPI 1003637448

NPI Information

  • NPI: 1003637448
  • Provider Name: REVITALIZE WELLNESS CENTER INC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 5170 N FLOYA AVE
    FRESNO, CA
    ZIP 93723
  • Phone: (559) 507-3760

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NPI Details

REVITALIZE WELLNESS CENTER INC is a psychiatric/mental health nurse practitioner in Fresno, CA. REVITALIZE WELLNESS CENTER INC NPI is 1003637448. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5170 N FLOYA AVE
FRESNO, CA
ZIP 93723
Phone: (559) 507-3760

The provider's authorized official is Shazia Malik .
The authorized official title is Owner and has the following contact phone number (559) 507-3760.

The enumeration date for this NPI number is 10/18/2024 and was last updated on 10/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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