Organization
REVIVE HEALTH: PRIMARY & URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE LEE BOLARINWA APRN-CNP (OWNER)
(440) 309-3823
Entity
Organization
Contact information
Practice address
401 CLEVELAND ST, ELYRIA, OH 44035-6143
(440) 309-3823
Mailing address
401 CLEVELAND ST, ELYRIA, OH 44035-6143
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
05/01/2026
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