Individual
MRS. BRITTANY L REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 CHARLES DIMMOCK PARKWAY, 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004121
VA
363AS0400X
Surgical Physician Assistant
PA9110089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020672900
—
FL
Enumeration date
03/22/2013
Last updated
02/27/2026
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