Individual
RHONDA JO REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 998-6022
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
287800
OH
363L00000X
Nurse Practitioner
Primary
4704233876
MI
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0030999
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0030999
OH
Other
Enumeration date
02/01/2022
Last updated
04/14/2025
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