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

Revitalize Health

Organization Nurse Practitioner · NPI 1821910803

Revitalize Health is a Nurse Practitioner in Coeur D Alene, Idaho. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

250 NW Blvd Ste 200
Coeur D Alene, ID 83814-2973
Phone: (208) 763-8920
Fax: (208) 203-0947
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1821910803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather King — Ceo · (208) 763-8920
NPI enumeratedJuly 29, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address4204 N Moccasin Rd, Coeur D Alene, ID 83815-8826

Other providers in Coeur D Alene