Revive Psychiatry Services
Revive Psychiatry Services is a Psychiatric/Mental Health Nurse Practitioner in Bridgeport, Connecticut. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
130 Poplar StBridgeport, CT 06605-1925
Phone: (203) 536-8533
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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 number | 1831844877 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Linton Kinlock — Psychiatric Nurse Practitioner · (203) 536-8533 |
| NPI enumerated | February 17, 2022 |
| Last updated in NPPES | February 17, 2022 |
| Certification date | February 17, 2022 |
| Mailing address | 130 Poplar St, Bridgeport, CT 06605-1925 |
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