Organization
REVIVE CLINIC AND SPA
Active
Other names
Revive Dermatology Clinic and Spa
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE GATICA DNP, FNP-C (OWNER)
(515) 965-5677
Entity
Organization
Contact information
Practice address
1850 SW PLAZA SHOPS LN STE A, ANKENY, IA 50023-7168
(515) 965-5677
Mailing address
1850 SW PLAZA SHOPS LN STE A, ANKENY, IA 50023-7168
(515) 965-5677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
08/14/2024
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