Organization
REVIVE HYDRATION AND WELLNESS LLC
Active
Organization
REVIVE HYDRATION AND WELLNESS LLC
Active
Other names
Revive Hydration and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR ALIZABETH SNIDER APRN, FNP-BC (OWNER/MANAGING MEMBER)
(337) 794-0455
Entity
Organization
Contact information
Practice address
4100 CANAL STREET, UNIT 1, LAKE CHARLES, LA 70605
(337) 485-2200
Mailing address
4100 CANAL STREET, UNIT 1, LAKE CHARLES, LA 70605
(337) 485-2200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/25/2026
Last updated
08/25/2026
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