Organization
REVIVE HEALTH AND AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE J ROBINSON APRN-CNP (OWNER)
(405) 226-3960
Entity
Organization
Contact information
Practice address
1900 W 2ND ST STE D, ELK CITY, OK 73644-4328
(405) 226-3960
Mailing address
1900 W 2ND ST STE D, ELK CITY, OK 73644-4328
(405) 226-3960
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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