# REVIVE DRIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710797287
- **Authorized official:** HEATHER POUNDS ARNP (MEDICAL DIRECTOR)
- **Authorized official phone:** (253) 222-4939

## Contact information

- **Practice address:** 5800 SOUNDVIEW DR STE B201, GIG HARBOR, WA 98335-2064
- **Practice address phone:** (253) 858-3800
- **Mailing address:** 5800 SOUNDVIEW DR STE B201, GIG HARBOR, WA 98335-2064
- **Mailing address phone:** (253) 858-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/08/2025