Ms Jacqueline Revello, MA, RN is a
Registered Nurse based in Divide, Colorado. Ms Jacqueline Revello is licensed to practice in Colorado (license number RN0188325) and her current practice location is
11115 W. Hwy 24, Unit 2c, Divide, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 687-6416.
NPI number for Ms Jacqueline Revello is 1003084369 and her current mailing address is Po Box 214, 682 Simba Point, Divide, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003084369.
Healthcare Provider's Profile
Full Name | Ms Jacqueline Revello |
---|
Gender | Female |
---|
Speciality | Registered Nurse |
---|
Location | 11115 W. Hwy 24, Unit 2c, Divide, Colorado |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003084369
- Provider Enumeration Date: 02/20/2008
- Last Update Date: 02/10/2017
Medical Identifiers
Medical identifiers for Ms Jacqueline Revello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003084369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | RN0188325 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Revello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jacqueline Revello, MA, RN Po Box 214, 682 Simba Point, Divide, CO 80814-0214 Ph: (719) 687-4224 | Ms Jacqueline Revello, MA, RN 11115 W. Hwy 24, Unit 2c, Divide, CO 80814 Ph: (719) 687-6416 |
Reviews and Comments