Individual
KRISTINA MICHELLE REVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11552 NW SUMMERS RD, BRISTOL, FL 32321-3344
(850) 686-9764
Mailing address
11552 NW SUMMERS RD, BRISTOL, FL 32321-3344
(850) 686-9764
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN9375914
FL
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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