Individual
DOLORES C REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
120 VALLEY GREEN LN, KING OF PRUSSIA, PA 19406-2079
(484) 476-6230
(484) 475-7802
Mailing address
525 BRIGHTS LN, BLUE BELL, PA 19422-1141
(215) 872-5968
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
UP002207C
PA
Other
Enumeration date
01/03/2007
Last updated
01/10/2022
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