Revive Medical & Aesthetic Clinic

LBN: Revive Medical & Aesthetic Clinic
Revive Medical & Aesthetic Clinic is an health care organization with primary practice located at 7313 Hanover Pkwy Ste A , Greenbelt MD 20770-3667. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Revive Medical & Aesthetic Clinic can be contacted via phone (301) 412-5522, or through Ukenye, Florence via phone (301) 412-5522.

Contact Information

Primary practice address
7313 Hanover Pkwy Ste A Greenbelt MD 20770-3667
Phone: (301) 412-5522
Fax: (301) 498-7436
Website:
Map and Directions
Authorized official contact:
Name: Ukenye, Florence Family Nurse Practitioner (FNP)
Phone: (301) 412-5522

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1104536358
LBN Legal business name Revive Medical & Aesthetic Clinic
DBA Doing business as
Authorized official Ukenye, Florence Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2022
Last updated Nov 29th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104536358 NPPES
Other NA NA

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