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

Revive Aesthetics & Wellness

Organization Nurse Practitioner · NPI 1144902180

Revive Aesthetics & Wellness is a Nurse Practitioner in Virginia Beach, Virginia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1617 Laskin Rd Unit 774B Ste 136
Virginia Beach, VA 23451
Phone: (757) 302-8556
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 number1144902180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirstie Robinson — Nurse Practitioner, Owner · (757) 302-8556
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 1, 2023
Certification dateJuly 28, 2023
Mailing address1617 Laskin Road Unit 774b, Suite 136, Virginia Beach, VA 23451

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