Revitalize Health
Revitalize Health is a Family Nurse Practitioner in Coeur D Alene, Idaho. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
913 W Canfield AveCoeur D Alene, ID 83815-9764
Phone: (208) 763-8920
Fax: (208) 203-0947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1467323220 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Heather King — Ceo · (208) 763-8920 |
| NPI enumerated | September 15, 2025 |
| Last updated in NPPES | September 15, 2025 |
| Certification date | September 15, 2025 |
| Mailing address | 913 W Canfield Ave, Coeur D Alene, ID 83815-9764 |
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Stephen Gene Ployhar
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MS. Jana M Qualls, FNP
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Megan Reed, FNP
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Ellen Kay Rock, ARNP
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Nicole Lynn Rock, ARNP-CNP
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