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Organization
THRIVE REVIVAL DNP NURSING INC
Active
Organization
THRIVE REVIVAL DNP NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMIE EDEN KAHL FNP-BC (CEO)
(805) 309-1937
Entity
Organization
Contact information
Practice address
1000 NEWBURY RD #210, THOUSAND OAKS, CA 91320
(805) 309-1937
(805) 269-8951
Mailing address
30700 RUSSELL RANCH RD STE 250, WESTLAKE VILLAGE, CA 91362-9507
(805) 309-1937
(805) 269-8951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2026
Last updated
09/10/2026
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