Organization
REVIVE HEALTH PRIMARY & URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE LEE BOLARINWA APRN-CNP, FNP (OWNER/CEO)
(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
(440) 387-4409
(440) 387-4427
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
07/22/2026
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