REVIVE MEDICAL SPA LLC; NPI #1467175943

Contact Information

REVIVE MEDICAL SPA LLC

1905 COWLES ST STE B
FAIRBANKS, AK 99701-5914

Phone: 907-371-1766
Fax: 907-531-7365
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for REVIVE MEDICAL SPA LLC

NPI Number	`1467175943`
LBN Legal business name	REVIVE MEDICAL SPA LLC
Authorized official	KAROLINA PRIEBE - (OWNER/PARTNER/NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/21/2022
Last updated	09/21/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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REVIVE MEDICAL SPA LLC

Contact Information

Specialty

Multi-Specialty

NPI Profile & details for REVIVE MEDICAL SPA LLC

Reviews for REVIVE MEDICAL SPA LLC