Organization
REVIVING WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MARTINSON NP (OWNER)
(480) 923-9094
Entity
Organization
Contact information
Practice address
3336 E CHANDLER HEIGHTS RD STE 123, GILBERT, AZ 85298-4263
(480) 923-9094
Mailing address
3336 E CHANDLER HEIGHTS RD STE 123, GILBERT, AZ 85298-4263
(480) 923-9094
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
08/23/2024
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