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

Revival LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1689444960

Revival LLC is a Psychiatric/Mental Health Nurse Practitioner in Bangor, Maine. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

139 State St Ste 2
Bangor, ME 04401-5317
Phone: (207) 843-9591
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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 number1689444960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Riehl — Owner/Cnp · (207) 843-9591
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 7, 2024
Mailing address51 Fletcher Rd, Dover Foxcroft, ME 04426-3715

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