Organization
REVIA HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE SHERMAN NP (OWNER, NURSE PRACTITIONER)
(719) 494-3948
Entity
Organization
Contact information
Practice address
7641 N UNION BLVD, COLORADO SPRINGS, CO 80920-3863
(719) 582-5500
Mailing address
7641 N UNION BLVD, COLORADO SPRINGS, CO 80920-3863
(719) 494-3948
(949) 695-4411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/06/2024
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