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

Revitalize Wellness Center Inc

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1003637448

Revitalize Wellness Center Inc is a Psychiatric/Mental Health Nurse Practitioner in Fresno, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2501 W Shaw Ave Ste 113
Fresno, CA 93711-3307
Phone: (559) 507-3760
Fax: (539) 238-2199
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 number1003637448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shazia Malik — Np · (559) 507-3760
NPI enumeratedOctober 18, 2024
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address5170 N Floyd Ave, Fresno, CA 93723-9435

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