REVOLUTION CARE, INC.
NPI 1255582300
Nurse Practitioner - Gerontology in North Wales, PA
Active since October 07, 2008
About Revolution Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVOLUTION CARE, INC. (NPI 1255582300) is a healthcare organization registered as a gerontology in North Wales, Pennsylvania and active in the NPI registry since October 2008. The organization lists John Joseph Whitman, President, as its authorized official.
NPPES Registry Identity
NPI1255582300
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameREVOLUTION CARE, INC.
Location Address105 THATCHER CTNorth Wales, PA 19454-1226
Mailing Address105 Thatcher CtNorth Wales, PA 19454-1226 · (484) 557-6980 · Fax (215) 997-6771
Phone(484) 557-6980
Fax(215) 997-6771
Organization SubpartNo
Authorized OfficialJohn Joseph WhitmanPresident · (484) 557-6980
Enumeration DateOctober 7, 2008
Last NPPES UpdateDecember 17, 2008
✔ NPI 1255582300 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
105 THATCHER CT, North Wales, PA 19454
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255582300, enumerated as an "organization" on October 07, 2008.
The provider is located at 105 THATCHER CT NORTH WALES, PA 19454 and the phone number is (484) 557-6980.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
