Revival Llc

LBN: Revival Llc
Revival Llc is an health care organization with primary practice located at 139 State St Ste 2 , Bangor ME 04401-5317. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Revival Llc can be contacted via phone (207) 843-9591, or through Riehl, Stephanie via phone (207) 843-9591.

Contact Information

Primary practice address
139 State St Ste 2 Bangor ME 04401-5317
Phone: (207) 843-9591
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Riehl, Stephanie Certified Nurse Practitioner (CNP)
Phone: (207) 843-9591

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1689444960
LBN Legal business name Revival Llc
DBA Doing business as
Authorized official Riehl, Stephanie Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2024
Last updated Jan 8th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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