OrganizationActive
Revive Health LLC
NPI 1003530502 · Psychiatric/Mental Health Clinical Nurse Specialist · Laurel, MD
Provider details
- NPI number
- 1003530502
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Maria Tancho, Ceo
Mailing address
13715 Oaklands Manor Dr
Laurel, MD 20708-1430
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.