Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medizen Revitalize

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1427905967

Medizen Revitalize is a Psychiatric/Mental Health Nurse Practitioner in Maize, Kansas. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

11407 W Sondra St
Maize, KS 67101-9014
Phone: (316) 285-0505
Fax: (763) 314-4990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1427905967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delicia Bawl — Owner · (316) 807-3069
NPI enumeratedMarch 13, 2026
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address11407 W Sondra St, Maize, KS 67101-9014

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