Organization
REVOLUTION HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BASS APRN (OWNER)
(702) 703-1202
Entity
Organization
Contact information
Practice address
6301 MOUNTAIN VISTA ST STE 209, HENDERSON, NV 89014-2364
(702) 703-1202
Mailing address
6301 MOUNTAIN VISTA ST STE 209, HENDERSON, NV 89014-2364
(702) 703-1202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250011291
—
NV
Enumeration date
08/04/2021
Last updated
04/18/2022
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