REVIVE MEDICAL SPA LLC
NPI 1467175943
Clinic/Center - Multi-Specialty in Fairbanks, AK

Active since September 21, 2022
1905 COWLES ST STE B, FAIRBANKS, AK 99701(907) 371-1766(907) 531-7365 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Medical Spa Llc NPPES

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

REVIVE MEDICAL SPA LLC (NPI 1467175943) is a healthcare organization registered as a multi-specialty in Fairbanks, Alaska and active in the NPI registry since September 2022. The organization lists Karolina Priebe, Owner/partner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1467175943
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREVIVE MEDICAL SPA LLC
Location Address1905 COWLES ST STE BFairbanks, AK 99701-5914
Mailing Address1905 Cowles St Ste BFairbanks, AK 99701-5914 · (907) 371-1766 · Fax (907) 531-7365
Fax(907) 531-7365
Organization SubpartNo
Authorized OfficialKarolina PriebeOwner/partner/nurse Practitioner · (907) 371-1766
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
NPI 1467175943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1905 COWLES ST STE B, Fairbanks, AK 99701

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1905 COWLES ST STE B
FAIRBANKS, AK 99701
Nurse Practitioner (Family)
1905 COWLES ST STE B
FAIRBANKS, AK 99701

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 Medical Spa LLC's NPI number?

The NPI number for Revive Medical Spa LLC is 1467175943. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Revive Medical Spa LLC located?

Revive Medical Spa LLC is located at 1905 Cowles St Ste B, Fairbanks, AK 99701. The listed phone number is (907) 371-1766.

What is Revive Medical Spa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Revive Medical Spa LLC was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.