Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLIE LEE REVAY
Active Sole ProprietorCHARLIE LEE REVAY is a Community Health Worker healthcare provider located in ST AUGUSTINE, Florida. NPI 1730465360 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1730465360
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2011 (14.843737823372 yrs)
- Last Updated
- Oct 27, 2011
- License
-
MA 58964 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6550 STATE ROAD 13 NST AUGUSTINE, FL, 320922020Browse FL providers · Browse ZIP 32092
- Phone
- 9045636716
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| MS. ANASTASIA M. SCHENK | — | 1962670992 |
| GEORGE ALTON JERNIGAN III | — | 1588551907 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.