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REVITALIZED FAMILY CARE
NPI 1508488750
Nurse Practitioner - Family in Sonora, CA

Active since May 11, 2020
673 PAULINE CT, SONORA, CA 95370(209) 404-6746 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Revitalized Family Care NPPES

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

REVITALIZED FAMILY CARE (NPI 1508488750) is a healthcare organization registered as a family in Sonora, California and active in the NPI registry since May 2020. The organization lists Dayna Iverson, President, as its authorized official.

NPPES Registry Identity

NPI1508488750
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVITALIZED FAMILY CARE
Location Address673 PAULINE CTSonora, CA 95370-5216
Mailing Address4906 Webster RdOakdale, CA 95361-7850 · (209) 404-6746
Phone(209) 404-6746
Organization SubpartNo
Authorized OfficialDayna IversonPresident · (209) 404-6746
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1508488750 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
673 PAULINE CT, Sonora, CA 95370
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Revitalized Family Care's NPI number?

The NPI number for Revitalized Family Care is 1508488750. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is Revitalized Family Care located?

Revitalized Family Care is located at 673 Pauline Ct, Sonora, CA 95370. The listed phone number is (209) 404-6746.

What is Revitalized Family Care'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 Revitalized Family Care was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.