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

Revivify Wound Care and Soft Tissue Specialty

Organization Nurse Practitioner · NPI 1497637342

Revivify Wound Care and Soft Tissue Specialty is a 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 St
Las Vegas, NV 89147-5128
Phone: (702) 886-2269
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1497637342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Gutierrez — Manager · (702) 886-2269
NPI enumeratedJuly 22, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address4533 Merkel Bluff St, Las Vegas, NV 89147-5128

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