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

Revive Medical Care

Organization Wound Care Registered Nurse · NPI 1710668496

Revive Medical Care is a Wound Care Registered Nurse in Goodyear, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4

Practice location Address checks out

239 N Litchfield Rd
Goodyear, AZ 85338-1249
Phone: (480) 549-8865
Fax: (520) 391-2936
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Wound Care Registered Nurse Taxonomy 163WW0000X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1710668496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesus Arvizo — Owner · (480) 549-8865
NPI enumeratedJuly 26, 2023
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address12317 W Larkspur Rd, El Mirage, AZ 85335-5286

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