Search › Colorado › 163W00000X
Jacqueline Revello, MA, RN
NPI 1003084369 · on the registry since 2008
Practice
- Address
- 11115 W. Hwy 24, Unit 2c
Divide, CO 80814 - Phone
- (719) 687-6416
- Organisation at this address
- Teller County Public Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 101Y00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado