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Contact Information

JACQUELINE REVELLO, MA, RN
11115 W. HWY 24, UNIT 2C
DIVIDE, CO80814
 Phone: 719-687-6416
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JACQUELINE REVELLO · (Female)

NPI Number 1003084369
Status Active
Credentials MA, RN
Entity Individual
Enumeration date 02/20/2008
Last updated 02/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CO License # RN0188325
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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