OrganizationActive
Revive and Thrive Integrative Medicine LLC
NPI 1982556502 · Family Nurse Practitioner · Anna, OH
Provider details
- NPI number
- 1982556502
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cindy Fleming, Owner(937) 646-5026
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14074 Pasco Montra Rd
Anna, OH 45302-9708
Phone: (937) 646-5026
Fax: (888) 222-6607
Approximate (ZIP-level) locationGet directions
Mailing address
14074 Pasco Montra Rd
Anna, OH 45302-9708
Registry dates
- Enumerated
- 2026-02-14
- Last updated
- 2026-02-14
- Certified
- 2026-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.