Individual
DEBORAH REVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.09984-NP
OH
363LW0102X
Women's Health Nurse Practitioner
COA09984NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083452
—
OH
Enumeration date
05/01/2013
Last updated
12/29/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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