Revai Nicole Samuel
Revai Nicole Samuel is a Physician Assistant in Irvine, California. Works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
14443 Culver Dr # 14443-AIrvine, CA 92604-0343
Phone: (949) 767-8173
Fax: (888) 972-1812
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1608 S J St Fl 5, Tacoma, WA 98405-4930 — (253) 274-7505
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 62641 (CA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1295308831 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 21, 2021 |
| Last updated in NPPES | August 16, 2024 |
| Certification date | August 16, 2024 |
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