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REVIVE WELLNESS AND BEAUTY, LLC
NPI 1265230148
Nurse Practitioner - Family in San Tan Valley, AZ

Active since March 05, 2025
10593 E AMERICAN PRIDE DR, SAN TAN VALLEY, AZ 85143(619) 201-0835 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Wellness And Beauty, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE WELLNESS AND BEAUTY, LLC (NPI 1265230148) is a healthcare organization registered as a family in San Tan Valley, Arizona and active in the NPI registry since March 2025. The organization lists Kristina Mckinzie, Owner, as its authorized official.

NPPES Registry Identity

NPI1265230148
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVIVE WELLNESS AND BEAUTY, LLC
Location Address10593 E AMERICAN PRIDE DRSan Tan Valley, AZ 85143-7978
Mailing Address10593 E American Pride DrSan Tan Valley, AZ 85143-7978 · (619) 201-0835
Phone(619) 201-0835
Organization SubpartNo
Authorized OfficialKristina MckinzieOwner · (619) 201-0835
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1265230148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
10593 E AMERICAN PRIDE DR, San Tan Valley, AZ 85143
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA A MCKINZIE FNP
Nurse Practitioner (Family)
10593 E AMERICAN PRIDE DR
SAN TAN VALLEY, AZ 85143
Pinal County (619) 201-0835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Wellness And Beauty, LLC's NPI number?

The NPI number for Revive Wellness And Beauty, LLC is 1265230148. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Revive Wellness And Beauty, LLC located?

Revive Wellness And Beauty, LLC is located at 10593 E American Pride Dr, San Tan Valley, AZ 85143. The listed phone number is (619) 201-0835.

What is Revive Wellness And Beauty, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Revive Wellness And Beauty, LLC was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.