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

Revive Clinic and Spa

Organization Family Nurse Practitioner · NPI 1205479888

Revive Clinic and Spa is a Family Nurse Practitioner in Ankeny, Iowa. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1850 SW Plaza Shops Ln Ste A
Ankeny, IA 50023-7168
Phone: (515) 965-5677
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1205479888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stefanie Gatica — Owner · (515) 965-5677
Other names Revive Dermatology Clinic And Spa
NPI enumeratedOctober 25, 2019
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address1850 Sw Plaza Shops Ln Ste A, Ankeny, IA 50023-7168

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