Revivify Wound Care and Soft Tissue Specialist
Revivify Wound Care and Soft Tissue Specialist is a Family Nurse Practitioner in Las Vegas, Nevada. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
4533 Merkel Bluff StLas Vegas, NV 89147-5128
Phone: (702) 886-2269
Show map & directions
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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 number | 1134016397 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Juan Gutierrez — Owner · (702) 886-2269 |
| NPI enumerated | June 20, 2025 |
| Last updated in NPPES | July 10, 2025 |
| Certification date | July 10, 2025 |
| Mailing address | 4533 Merkel Bluff St, Las Vegas, NV 89147-5128 |
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