Revive Wellness and Rejuvenation LLC
NPI 1184252678 · Family Nurse Practitioner · Glendale, AZ
Revive Wellness and Rejuvenation LLC is a Family Nurse Practitioner organization in Glendale, AZ (NPI 1184252678).
Provider details
- NPI number
- 1184252678
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Robert Graham, President(602) 595-7836
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-30
- Last updated
- 2020-05-01
- Certified
- 2020-05-01
Frequently asked questions
- What is Revive Wellness and Rejuvenation LLC's NPI number?
- Revive Wellness and Rejuvenation LLC's National Provider Identifier (NPI) is 1184252678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Wellness and Rejuvenation LLC?
- Revive Wellness and Rejuvenation LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Wellness and Rejuvenation LLC located?
- Revive Wellness and Rejuvenation LLC's practice location on file with NPPES is 20229 N 67th Ave Ste C-A, Glendale, AZ 85308-6664.
- What is Revive Wellness and Rejuvenation LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Wellness and Rejuvenation LLC is (602) 595-7836.
- Who is the authorized official for Revive Wellness and Rejuvenation LLC?
- The authorized official listed on Revive Wellness and Rejuvenation LLC's NPPES record is Robert Graham, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Wellness and Rejuvenation LLC's NPI active?
- Yes — Revive Wellness and Rejuvenation LLC's NPI (1184252678) is active in the NPPES registry as of the last update on 2020-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.