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

Revive Wellness and Beauty, LLC

Organization Family Nurse Practitioner · NPI 1265230148

Revive Wellness and Beauty, LLC is a Family Nurse Practitioner in San Tan Valley, Arizona. Registered with an NPI since 2025.

In the registry since
2025
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

10593 E American Pride Dr
San Tan Valley, AZ 85143-7978
Phone: (619) 201-0835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1265230148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina McKinzie — Owner · (619) 201-0835
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address10593 E American Pride Dr, San Tan Valley, AZ 85143-7978

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