Revive And Thrive Integrative Medicine LLC
Nurse Practitioner, Family in Anna, OH. Organization (NPI-2).
NPI number1982556502
StatusActive
Last updated in NPPESFeb 14, 2026
Details
- NPI
- 1982556502
- Entity type
- Organization (NPI-2)
- Legal business name
- Revive And Thrive Integrative Medicine LLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2026
- Certification date
- Feb 14, 2026
- Last updated
- Feb 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Practice location
14074 Pasco Montra RdAnna, OH 45302-9708
Phone 937-646-5026 · Fax 888-222-6607
Mailing address
14074 Pasco Montra RdAnna, OH 45302-9708
Phone 937-646-5026 · Fax 888-222-6607
Authorized official
Cindy Fleming
Owner
9376465026
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Other Family Nurse Practitioner providers in Anna, OH
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