Organization
REVIVE AESTHETICS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTIE ROBINSON NP (NURSE PRACTITIONER, OWNER)
(757) 302-8556
Entity
Organization
Contact information
Practice address
1617 LASKIN ROAD UNIT 774B, SUITE 136, VIRGINIA BEACH, VA 23451
(757) 302-8556
Mailing address
1617 LASKIN ROAD UNIT 774B, SUITE 136, VIRGINIA BEACH, VA 23451
(757) 302-8556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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