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

Revive Medical Spa LLC

Organization Multi-Specialty Clinic/Center · NPI 1467175943

Revive Medical Spa LLC is a Multi-Specialty Clinic/Center in Fairbanks, Alaska. Registered with an NPI since 2022.

In the registry since
2022
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

1905 Cowles St Ste B
Fairbanks, AK 99701-5914
Phone: (907) 371-1766
Fax: (907) 531-7365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1467175943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karolina Priebe — Owner/Partner/Nurse Practitioner · (907) 371-1766
NPI enumeratedSeptember 21, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022
Mailing address1905 Cowles St Ste B, Fairbanks, AK 99701-5914

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